穴位注射青藤碱治疗骶髂关节疼痛64例临床研究

Clinical observation of acupoint injection in treating 64 cases of sacroiliac joint pain

目的:观察穴位注射青藤碱注射液治疗骶髂关节疼痛的临床效果。方法:选取2016年9月—2017年12月诊治的骶髂关节疼痛患者64例,按随机数字表法随机分为对照组和观察组各32例。两组每日给予理疗20 min,观察组在此基础上行左右关元俞穴青藤碱注射,对照组在理疗基础上行左右关元俞穴0.9%氯化钠注射液注射,5 d为1个疗程,间隔1周继续下一疗程,共治疗两个疗程。结果:观察组总有效率为90.63%,对照组为68.75%,两组比较,差异有统计学意义(P<0.05)。与治疗前比较,两组主要症状及体征(疼痛、直腿抬高试验及"4"字试验)均显著改善(P<0.05),且观察组优于对照组(P<0.05)。结论:穴位注射青藤碱治疗骶髂关节疼痛具有疗效好、安全、简便、价廉的优点,临床实用价值较高,疼痛缓解明显。

Objective：To observe the clinical effect of acupoint injection sinomenine injection in the treatment of sacroiliac joint pain.Methods：Sixty-four patients with sacroiliac joint pain who were diagnosed and treated from September 2016 to December 2017 were randomly divided into control group and experimental group according to random number table method.The experimental group and the control group were given physical therapy for 20 minutes a day,on the basis of which the experimental group was injected with sinomenine at about Guanyu point,and the control group was injected with 0.9% sodium chloride injection at a dose of 0.9% For a course of treatment,an interval of 1 week to continue the next course of treatment,a total of two courses of treatment.Results：The total effective rate of the experimental group and the control group were 90.63% and 68.75% respectively;the experimental group was significantly better than the control group （ P 〈0.05）.The main symptoms and signs （pain,straight leg raising test and ＇4＇ word test） were significantly improved compared with those before treatment （ P 〈0.05）,and the experimental group was better than the control group （ P 〈0.05）.Conclusion：Acupoint injection of sinomenine for the treatment of sacroiliac joint pain has the advantages of good efficacy,safety,simplicity and low cost,and has high clinical practical value and obvious pain relief.