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针刺联合摇髋法治疗骶髂关节紊乱临床观察

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目的 观察针刺联合摇髋法治疗骶髂关节紊乱的临床疗效.方法 将 96 例骶髂关节紊乱患者按照随机数字表法分为2 组,对照组48 例予针刺治疗,治疗组48 例在对照组治疗基础上应用摇髋法治疗.2 组均1 周为1 个疗程,连续治疗4 个疗程.比较2 组疗效;比较2 组治疗前和治疗2、4 周数字疼痛强度量表(NRS)评分、Roland-Morris功能障碍调查表(RMDQ)评分、Oswestry功能障碍指数(ODI)评分变化;比较 2 组治疗前后腰椎活动度变化.结果 治疗组优良率87.50%(42/48),对照组优良率70.83%(34/48),治疗组疗效优于对照组(P<0.05).2 组治疗2、4 周NRS评分、RMDQ评分、ODI评分均较本组治疗前降低(P<0.05),治疗4 周NRS评分、RMDQ评分、ODI评分均较本组治疗2 周降低(P<0.05);治疗2、4 周治疗组NRS评分、RMDQ评分、ODI评分均低于对照组治疗同期(P<0.05).2 组治疗后腰椎前伸、后屈、左旋、右旋活动度均较本组治疗前增加(P<0.05),且治疗组增加更明显(P<0.05).结论 针刺联合摇髋法治疗骶髂关节紊乱,可有效缓解患者下腰痛,改善腰椎功能.
Clinical efficacy of acupuncture combined with hip shaking method on sacroiliac joint dysfunction
Objective To observe the clinical efficacy of acupuncture combined with hip shaking method on sacroiliac joint dysfunction(SIJD).Methods A total of 96 SIJD patients were randomly assigned into treatment group(n=48)and con-trol group(n=48).All patients were managed by acupuncture,and those in treatment group were additionally treated with hip shaking method.The treatment continued for 4 courses(1 course for 1 week),the aim was to compare Numerical Rating Scale(NRS)score,Roland-Morris Disability Questionnaire(RMDQ)score,Oswestry Disability Index(ODI)score,lumbar range of motion(LROM).The curative effect was assessed.Results The excellent rate in the treatment group was better than that in the control group(87.50%[42/48]vs 70.83%[34/48],P<0.05).The scores of NRS,RMDQ and ODI at weeks2 and4 in the both groups were significantly decreased(P<0.05),which decreased notably in the treatment group compared with the control group(P<0.05).The scores of NRS,RMDQ,and ODI in the both groups at week4 were significantly lower than those at week 2(P<0.05).After treatment,LROM(forward extension,posterior flexion,left and right rotation)in the both groups were significantly increased(P<0.05),the increase in the treatment group was more common than the control group(P<0.05).Conclusion For SIJD patients,acupuncture combined with hip shaking method can effectively relieve low back pain and improve lumbar spine function.

Joint instabilitySacroiliac jointAcupuncture therapyMassage

刘炼、游菲、段晨、胡星

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华中科技大学同济医学院附属武汉中心医院康复医学科,湖北 武汉 430014

关节不稳定性 骶髂关节 针刺疗法 推拿

湖北省中医药管理局2023-2024年度中医药科研立项项目武汉市医学科研项目

ZY2023M031WZ20A11

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(6)