拔伸复位手法治疗骶髂关节损伤35例临床分析

Clinical Analysis of The treatment of pulling reset sacroiliac joint injury:a report of 35 cases

目的:分析拔伸复位手法治疗骶髂关节损伤的临床疗效。方法:本组35例患者,其中男12例,女23例;年龄18岁～71岁,平均41.5岁;病程最长2.5年,最短1d;单侧30例,双侧5例;有明确腰部扭伤者29例,因感受寒湿后加重者5例,无明显诱因者1例。均采用拔伸复位手法治疗,每周2次,疗程1～6次,平均3次。按照中医药行业标准中骶髂关节损伤的疗效评价标准评定疗效。结果:35例患者均获得随访,时间1～6个月,平均3个月。按疗效评价标准,痊愈27例,好转5例,无效2例,总有效率为92%,治愈率为73%,未见手法治疗不良反应。结论:拔伸复位手法治疗骶髂关节损伤有显著疗效,能明显改善患者疼痛症状,且操作简单,值得临床推广。

Objective ：To analyze the pulling and repositioning maneuver for treatment of sacroiliac joint injury clinical efficacy. Methods：Among 35 patients, 12 patients were male and 23 patients were female, ranging in age from 18 to 71 years,with an average of all. 5 years, the longest duration of 2.5 years, minimum 1 day, unilateral 30 cases, bilateral in 5 cases,explicit waist sprain in 29 cases,because feels the cold-damp postemphasis 5 cases,no obvious incentive in 1 case, All the use of pulling and repositioning maneuver the treatment of sacroiliac joint injury, twice a week, the treatment times ranged from 1 to 6 （ average 3 times）, We adopt traditional Chinese medicine industry standard sacroiliac joint damage efficacy evaluation standard evaluation results. Results： 35 patients were followed up for 1 to 6 months, an average of 3 months. By the evaluation criteria,excellent in 27 cases, good in 5 cases, bad in 2 cases, The excellent and good rate was 92% ,the cure rate was 73%, no manual therapy adverse reactions. Conclusion： The treatment of pulling reset sacroiliac joint injury have a significant effect,can significantly improve symptoms in patients with pain,and simple to operate,worthy of promotion.