축성 척추관절염 환자에서 4주간 침 시술의 효과와 안전성에 관한 무작위, 이중맹검, 대조군 연구

Abstract

Objectives :To evaluate the clinical effectiveness and safety of acupuncture in patients with axial spondyloarthritis. Methods :A randomized, double-blinded, sham controlled, parallel group trial. Random allocation was done under blocked randomization with allocation concealment by opaque sequentially numbered sealed envelopes. Participants Conducted between November 2011 and February 2013, participants were recruited from the outpatients of department of rheumatology in Gil hospital who were diagnosed with axial spondyloarthritis by rheumatologists under ASAS(assessment in ankylosing spondylitis) classification criteria. Intervention Active acupuncture and sham control group were made. Each participant in that group took 8 sessions of acupuncture in 4 weeks, twice per a week. Usual medical treatments were attained independently during whole session. Results :10 participants were analyzed. 6 were allocated in treatment group and 4 went sham control group. Acupuncture showed significant reduce on visual analogue scale of low back pain at 4th week.(p=0.021) but failed to show superiority on control. Harms 1 participant(16.5%) from acupuncture group complained of mild local pain. Conclusions :Acupuncture is able to reduce low back pain with axial spondyloarthritis but it could be placebo effect.