髂后上棘微调矫正法治疗骶髂关节后下错位的临床疗效观察  

Clinical Efficacy of Fine-Tuning Correction Method of Posterior Superior Iliac Spine in Treating Sacroiliac Joint Posterior-Inferior Dislocation

作　　者：王永亮[1] 庄哲[2] 吴建丽[3] 史文强[2] 李岳峰 梁峰 刘旭东[2] 梅荣军[2] WANG Yongliang;ZHUANG Zhe;WU Jianli;SHI Wenqiang;LI Yuefeng;LIANG Feng;LIU Xudong;MEI Rongjun(The Third Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150090, China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150001, China;Heilongjiang University of Chinese Medicine, Harbin 150040, China)

机构地区：[1]黑龙江中医药大学附属第三医院,黑龙江哈尔滨150090 [2]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [3]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《中医药学报》2022年第1期80-85,共6页Acta Chinese Medicine and Pharmacology

基　　金：黑龙江省中医管理局项目(ZHY2020-163);黑龙江省自然科学基金项目(YQ2020H029)。

摘　　要：目的:观察髂后上棘微调矫正法治疗骶髂关节后下错位的临床疗效。方法:将2020年5月—2021年4月于黑龙江中医药大学附属第三医院就诊的90例骶髂关节后下错位患者随机分为观察组、对照A组和对照B组,每组各30例。3组在关节整复前均采用传统推拿手法进行基础治疗以放松肌肉,随后观察组采用髂后上棘微调矫正法,对照A组采用传统复位手法,对照B组采用美式整脊矫正法。所有基础治疗均1次/d,手法矫正为1次/2 d,7 d为1个疗程,共治疗2个疗程。分别于治疗前、治疗后及治疗后1个月随访时观察三组患者VAS疼痛评分、ODI功能障碍评分、腰椎JOA评分和骨盆两侧髂嵴高度差的变化,比较3组的临床疗效差异。结果:治疗14 d后,观察组的总有效率为93.3%(24/30),明显高于对照A组的70%(21/30)和对照B组的60%(18/30)。与治疗前相比,三组患者治疗后和治疗后1个月随访的VAS评分、ODI评分和两侧髂嵴高度差均明显下降,JOA评分明显升高(P<0.05)。在治疗后和治疗后1个月随访时,观察组VAS评分、ODI评分和两侧髂嵴高度差均低于对照A组和对照B组,且JOA评分高于对照A组和对照B组。结论:对于骶髂关节后下错位患者,髂后上棘微调矫正法能明显缓解患者骶髂关节疼痛,改善机体日常功能,提高腰椎活动程度,其临床疗效和远期疗效均明显优于传统复位手法和美式整脊法,值得临床推广应用。Objective:To observe the clinical effect of fine-tuning correction method of posterior superior iliac spine in the treatment of posterior-inferior dislocation of sacroiliac joint.Methods:90 patients with posterior lower sacroiliac joint dislocation were randomly divided into the observation group,the control group A and the control group B,with 30 cases in each group.Basic traditional massage techniques were applied in the three groups to relax muscles before joint restoration;on which basis,the posterior superior iliac spine fine-tuning correction method was applied in the observation group,traditional restoration method was used in the control group A,and American chiropractic was used in the control group B.All basic treatments were performed once a day,manual correction was once every two days for two courses,with 7 days being taken as one course of treatment.The changes of VAS pain score,ODI dysfunction score,lumbar JOA score and iliac crest height difference on both sides of the pelvis were observed in the three groups before the treatment,after the treatment and during one month follow-up.The clinical efficacy was compared among the three groups.Results:After 14 days of the treatment,the total effective rate of the observation group was 93.3%(24/30),which was significantly higher than 70%(21/30)of the control group A and 60%(18/30)of the control group B(P<0.05).Compared to those before the treatment,the VAS score,the ODI score and the bilateral iliac crest height difference were all significantly decreased,whereas the JOA score was significantly increased after the treatment and during one month follow-up in the three groups(P<0.05);of which the improvements in the observation group were more significant than those in the control group A and the control group B(P<0.05).Conclusion:For patients with posterior-inferior dislocation of sacroiliac joint,the posterior superior iliac spine fine-tuning correction method can significantly relieve the patient’s sacroiliac joint pain,improve the daily function of th

关 键 词：骶髂关节错位 髂后上棘微调矫正法 美式整脊 临床观察 

分 类 号：R274.9[医药卫生—中西医结合]