调盆稳脊法联合独活寄生汤治疗腰椎间盘突出症伴骶髂关节错位的临床效果

Clinical effect of regulating basin and stabilizing spine combined with Duhuo Jisheng decoction in the treatment of lumbar disc herniation with sacroiliac joint dislocation

目的分析调盆稳脊法联合独活寄生汤治疗腰椎间盘突出症(LDH)伴骶髂关节错位的临床效果。方法选取2017年6月至2020年9月我院收治的50例LDH伴骶髂关节错位患者,根据治疗方法的不同将其分为对照组(23例,调盆稳脊法治疗)和研究组(27例,调盆稳脊法+独活寄生汤治疗)。比较两组的临床效果。结果治疗后2、4周,两组的JOA评分均升高,VAS、RDQ评分均降低,且研究组优于对照组(P<0.05)。治疗后2、4周,两组的TNF-α、IL-1β水平均降低,且研究组低于对照组(P<0.05)。治疗后4周,研究组的治疗总有效率高于对照组(P<0.05)。结论调盆脊法联合独活寄生汤治疗LDH伴骶髂关节错位的临床效果显著,可减轻患者疼痛程度,降低炎症因子水平,提高腰椎功能。

Objective To analyze the clinical effect of regulating basin and stabilizing spine combined with Duhuo Jisheng decoction in the treatment of lumbar disc herniation(LDH)with sacroiliac joint dislocation.Methods A total of 50 patients with LDH with sacroiliac joint dislocation admitted in our hospital from June 2017 to September 2020 were selected and divided into control group(23 cases,regulating basin and stabilizing spine treatment)and study group(27 cases,regulating basin and stabilizing spine+Duhuo Jisheng decoction treatment)according to different treatment methods.The clinical effect of the two groups were compared.Results After 2 and 4 weeks of treatment,the JOA score in the two groups increased,while the VAS and RDQ scores decreased,and those in the study group were better than the control group(P<0.05).After 2 and 4 weeks of treatment,the levels of TNF-αand IL-1βin the two groups decreased,and those in the study group were lower than the control group(P<0.05).After 4 weeks of treatment,the total effective rate of treatment in the study group was higher than that in the control group(P<0.05).Conclusion Regulating basin and stabilizing spine combined with Duhuo Jisheng decoction in the treatment of LDH with sacroiliac joint dislocation has a significant clinical effect,it can relieve the degree of pain of patients,reduce the levels of inflammatory factors and improve the lumbar function.