推拿结合易筋经治疗骶髂关节紊乱

Clinical effect of massage combined with the Yi Jinjing exercise in the treatment of sacroiliac joint disorders

目的观察“筋骨平衡”思想指导推拿结合易筋经治疗骶髂关节紊乱的临床疗效。方法选取60例骶髂关节紊乱患者,随机分为治疗组30例(脱落2例)与对照组30例(脱落1例),2组均在常规推拿基础上,在“筋骨平衡”思想指导下对骶髂关节微调,治疗组加以易筋经功法锻炼。治疗前、治疗后、治疗6个月后随访,分别采用VAS评分、ODI功能障碍指数判定其疼痛程度及功能障碍,并于6个月后电话随访患者自觉复发情况并计算治愈率。结果治疗后,2组VAS评分、ODI功能障碍指数评分较治疗前均显著降低(P<0.05),2组VAS评分、ODI功能障碍指数差异无统计学意义(P>0.05);6个月后随访,治疗组VAS评分、ODI功能障碍指数评分降低程度较治疗后均明显优于对照组(P<0.05);6个月后治疗组电话随访患者自觉复发率低,治愈率高。结论“筋骨平衡”思想指导推拿结合易筋经治疗骶髂关节紊乱,可显著减轻患者疼痛程度、改善功能障碍,提高治愈率,减少复发率,提高远期疗效,值得临床推广应用。

Objective To observe the clinical effect of massage combined with the Yi Jinjing exercise in the treatment of sacroiliac joint disorders under the guidance of the thought of"balance of muscles and bones".Methods A total of 60 patients with sacroiliac joint disorders were selected and randomly divided into a treatment group(n=30,with joint falling off in 2 cases)and a control group(n=30,with joint falling off in 1 case).On the basis of routine massage,the sacroiliac joints in the two groups were finetuned under the guidance of the thought of"balance of muscles and bones",and the treatment group additively received the Yi Jinjing exercise.Before and after treatment,after follow-up,the scores of the VAS and ODI were used respectively to determine the degree of pain and dysfunction,and after 6 months of treatment,patients were followed up by telephone to calculate the recurrence rate and the cure rate.Results After treatment,the scores of the VAS score and the ODI in the two groups were significantly lower than those before treatment(P<0.05),yet there was no significant difference between the two groups in this regard(P>0.05).After 6 months of treatment,the scores of the VAS and the ODI in the treatment group were significantly lower than those in the control group(P<0.05).After 6 months of treatment,the patients in the treatment group had a lower recurrence rate and a higher cure rate.Conclusion In the treatment of sacroiliac joint disorders under the guidance of the thought of"balance of muscles and bones",massage combined with the Yi Jinjing exercise can significantly reduce the pain degree of patients,improve the dysfunction,increase the cure rate,reduce the recurrence rate,and improve the long-term effect,which is worthy of clinical application.