壮医经筋疗法结合整脊手法治疗骶髂关节错位

Treatment of sacroiliac joint dislocation by Zhuang medicine tendon therapy combined with chiropractic manipulation

目的:分析壮医经筋疗法结合整脊手法治疗骶髂关节错位的临床疗效。方法:自2017年1月至2018年5月收治的骶髂关节错位患者60例,根据患者入院顺序分为治疗组和对照组,各30例。治疗组中男19例,女11例;年龄23~52(38.97±3.23)岁;病程2 h^5.1个月,平均(2.19±1.12)个月。对照组男14例,女16例;年龄26~50(39.07±3.30)岁;病程3 h^6个月,平均(2.41±1.05)个月。治疗组予壮医经筋疗法结合整脊手法治疗,对照组给予常规针灸推拿治疗。治疗前患者主要临床症状表现为腰骶部疼痛、髂后上棘不在同一水平并伴有活动障碍,骨盆分离试验、“4”字试验呈阳性,治疗后依据改良的Macnab标准及“腰椎疾患治疗成绩评分”来进行疗效评价。结果:60例患者获随访,平均时间8个月。两组患者术后末次随访时改良Macnab临床疗效评价结果,治疗组明显优于对照组(P<0.01)。两组腰椎功能评分治疗后比较,治疗组优于对照组(P<0.01)。结论:壮医经筋疗法结合整脊手法治疗骶髂关节错位具有较好的临床效果,值得进一步的应用发展。

Objective:To analyze the clinical effect of Zhuang medicine tendon therapy combined with chiropractic manipulation in treating sacroiliac joint dislocation. Methods:From January 2017 to May 2018,60 patients with sacroiliac joint dislocation were divided into treatment group and control group according to the order of admission. There were 19 males and 11 females in the treatment group,aged from 23 to 52 (38.97±3.23) years old,with a course of 2 h to 5.1 months,with an aver age of (2.19±1.12) months. There were 14 males and 16 females in the control group,aged from 26 to 50 (39.07±3.30) years old,with a course of 3 h to 6 months,with an average of(2.41±1.05) months. The treatment group was treated with Zhuang medicine tendon therapy combined with chiropractic manipulation,while the control group was treated with conventional acupuncture and massage. Before treatment,the main clinical symptoms of the patients were lumbosacral pain,posterior superior iliac spine not at the same level and accompanied with dyskinesia. The pelvic separation test and the "4" test were positive. After treatment,the curative effect was evaluated according to the improved Macnab standard and the "score of treatment of lumbar diseases". Results:Sixty patients were followed up for an average of 8 months. At the latest follow-up,the clinical effect of modified Macnab was better in the treatment group than in the control group(P<0.01). After treatment,the treatment group was better than the control group on lumbar function score (P<0.01). Conclusion:The treatment of sacroiliac joint dislocation by Zhuang medicine tendon therapy combined with chiropractic manipulation has good clinical effect and is worth further application and development.