刺骨术联合中药治疗骶髂关节疾病的临床研究
Clinical Study of Bone Piercing Surgery Combined with Chinese Materia Medica in the Treatment of Sacroiliac Joint Diseases
朱光彩 1郑闽 2王颖1
作者信息
- 1. 鹰潭一八四医院骨科 江西 鹰潭 335000
- 2. 鹰潭一八四医院消化内科 江西 鹰潭 335000
- 折叠
摘要
目的:观察骶髂关节疾病患者应用刺骨术联合中药治疗的效果.方法:选择鹰潭一八四医院 2021 年 1 月—2023 年 4 月骶髂关节疾病患者 84 例,随机分为三组,治疗期间脱落 4 例,最终入组 80 例,其中治疗组 27 例,对照组 1 有 25 例,对照组 2 有 28 例.比较三组临床疗效,应用简式麦吉尔疼痛问卷(SF-MPQ)于治疗前、治疗 28 d后及治疗后 3 个月评估患者疼痛情况.结果:治疗组总有效率(96.3%)高于对照组 1(68.0%)(P<0.05);治疗前三组视觉模拟评分法(VAS)、疼痛分级指数(PRI)、现时疼痛强度(PPI)评分及总分比较,差异均无统计学意义(P>0.05);治疗 28 d后及治疗后 3 个月,三组VAS、PRI、PPI评分及总分较治疗前均下降,差异均有统计学意义(P<0.05);治疗28 d后,治疗组VAS、PRI、PPI评分及总分均低于对照组 1 和对照组 2,治疗后 3 个月,治疗组以上评分均低于对照组 1 和对照组 2(P<0.05).结论:刺骨术联合中药内服可有效地缓解骶髂关节疾病患者的临床症状,是临床上行之有效的治疗方法.
Abstract
Objective:To observe the effect of bone piercing surgery combined with Chinese materia medica on patients with sacroiliac joint diseases.Method:A total of 84 patients with sacroiliac joint disease in Yingtan 184 Hospital from January 2021 to April 2023 were randomly divided into 3 groups,4 cases dropout during treatment,and 80 cases were finally enrolled,including 27 cases in the treatment group,25 cases in the control group 1 and 28 cases in the control group 2.The clinical efficacy of the three groups was compared,and the patients'pain situation were evaluated by short form McGill pain questionnaire(SF-MPQ)before treatment,after 28 days of treatment and 3 months after treatment.Result:The total effective rate of treatment group(96.3%)was higher than that of control group 1(68.0%)(P<0.05).Before treatment,there were no significant differences in visual analogue scale(VAS),pain rating index(PRI),present pain intensity(PPI)scores and total scores among the three groups(P>0.05).After 28 days of treatment and 3 months after treatment,VAS,PRI,PPI scores and total scores of the three groups were lower than those before treatment,the differences were statistically significant(P<0.05).After 28 days of treatment,VAS,PRI,PPI scores and total scores of the treatment group were lower than those of control group 1 and control group 2,and above scores of the treatment group were lower than those of control group 1 and control group 2 at 3 months after treatment(P<0.05).Conclusion:Bone piercing surgery combined with Chinese materia medica can effectively relieve the clinical symptoms of patients with sacroiliac joint diseases,and is an effective treatment method in clinical practice.
关键词
骶髂关节疾病/刺骨术/中药/疼痛程度Key words
Sacroiliac joint disease/Bone piercing surgery/Chinese materia medica/Pain degree引用本文复制引用
基金项目
江西省鹰潭市科技计划项目(Ykz20180040)
江西省鹰潭市科技计划项目(Ykz20180041)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据