针刺联合摇髋法治疗骶髂关节紊乱临床观察  

Clinical efficacy of acupuncture combined with hip shaking method on sacroiliac joint dysfunction

作　　者：刘炼 游菲[1] 段晨 胡星 LIU Lian;YOU Fei;DUAN Chen;HU Xing(Department of Rehabilitation Medicine,Wuhan Central Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430014)

机构地区：[1]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

出　　处：《河北中医》2024年第6期985-988,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：湖北省中医药管理局2023—2024年度中医药科研立项项目(编号:ZY2023M031);武汉市医学科研项目(编号:WZ20A11)。

摘　　要：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。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 control 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 weeks 2 and 4 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 week 4 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.

关 键 词：关节不稳定性 骶髂关节 针刺疗法 推拿 

分 类 号：R684[医药卫生—骨科学] R244.1[医药卫生—外科学] R245.31[医药卫生—临床医学]