蛙式扳法结合身痛逐瘀汤治疗骶髂关节紊乱临床效果观察

Observation on Clinical Effect of Treating Sacroiliac Joint Disorder with Frog Pulling Method Combined with Shentong Zhuyu Decoction(身痛逐瘀汤)

目的观察蛙式扳法结合身痛逐瘀汤治疗骶髂关节紊乱临床效果。方法共计纳入骶髂关节紊乱患者120例(2019年1月—2021年6月),将患者根据随机数字表法分成对照组、观察组,每组60例,予以对照组患者蛙式扳法治疗,予以观察组患者蛙式扳法结合身痛逐瘀汤治疗,数据观察:临床疗效、治疗前后中医证候积分(腰痛、下肢麻痹、腰膝酸软、乏力等)变化、治疗前后髂骨横径差变化、日本骨科协会JOA量表评分(Japanese orthopaedic association scores,JOA)变化、McGill疼痛量表评分(mcgill pain questionnaire overview,McGill)变化、Oswestry功能障碍指数(oswestry disability index)评分变化、Batthel指数评分变化、不良事件与不良反应情况、随访6个月,对比3个月及6个月后两组复发率。结果对照组患者治疗总有效率为83.33%(50/60),观察组治疗总有效率为95.00%(57/60),观察组患者治疗总有效率更高(P<0.05);两组患者治疗前中医证候积分(腰痛、下肢麻痹、腰膝酸软、乏力等)、髂骨横径差、JOA量表评分、McGill疼痛量表评分、Oswestry功能障碍指数评分、Batthel指数评分等指标比较无统计学意义(P>0.05),治疗后各组患者中医证候积分(腰痛、下肢麻痹、腰膝酸软、乏力等)、髂骨横径差、JOA量表评分、McGill疼痛量表评分、Oswestry功能障碍指数评分、Batthel指数评分等指标均改善,而观察组中医证候积分(腰痛、下肢麻痹、腰膝酸软、乏力等)、髂骨横径差、JOA量表评分、McGill疼痛量表评分、Oswestry功能障碍指数评分、Batthel指数评分等指标优于对照组患者(P<0.05);对照组与观察组均无不良反应、不良事件;治疗后3个月,两组患者均未见复发,治疗后6个月,观察组无复发(0.00%),对照组复发4例(6.67%),P<0.05。结论蛙式扳法治疗骶髂关节紊乱临床效果良好,结合身痛逐瘀汤治疗更为显著,患者明显疼痛缓解,症状改善,日常生活能力提升,无不良事件与不良反应,治疗6个月未见复发,安全可靠,值得应用。

Objective To observe the clinical effect of frog manipulation combined with Shentong Zhuyu Decoction(身痛逐瘀汤)on sacroiliac joint disorder.Methods A total of 120 patients with sacroiliac joint disorder(admitted from January 2019 to June 2021)were included in this study.Patients were divided into control group and observation group according to random num⁃ber table method,with 60 patients in each group.Patients in the control group were treated with frog pulling method,and those in the observation group were treated with frog pulling method combined with Shentong Zhuyu Decoction.The clinical efficacy,chan⁃ges in traditional Chinese medicine syndrome scores(lumbago,lower limb paralysis,lumbar and knee tenderness,fatigue,etc.),changes in iliac transverse diameter difference,Japanese Orthopaedic Association JOA scores,the McGill pain questionnaire over⁃view,Oswestry disability index,Batthel index,adverse events and reactions,and follow-up for 6 months were performed to com⁃pare the recurrence rates of the two groups at 3 and 6 months.Results The total effective rate of the control group was 83.33%(50/60)and that of the observation group was 95.00%(57/60).The total effective rate of the observation group was higher(P<0.05).Comparison of traditional Chinese medicine syndrome scores(lumbago,paralysis of lower limbs,tenderness of lum⁃bar and knee,fatigue,etc.),iliac transverse diameter difference,JOA scale score,McGill score,Oswestry dysfunction index score and Batthel index score between the two groups before treatment were not significant(P>0.05).After treatment,traditional Chi⁃nese medicine syndrome scores(lumbago,lower limb paralysis,lumbar and knee acerbity,fatigue,etc.),iliac transverse diameter difference,JOA scale score,McGill score,Oswestry dysfunction index score,Batthel index score and other indicators were im⁃proved in each group.The observation group was better than the control group in traditional Chinese medicine syndrome score(lumbago,paralysis of lower limbs,tenderness of waist and knee,fatigue,etc.),iliac transverse diameter difference,JOA scale score,McGill score,Oswestry dysfunction index score and Batthel index score(P<0.05).There were no adverse reactions or e⁃vents in the control group and observation group.3 months after treatment,there was no recurrence in both groups.6 months after treatment,there was no recurrence in the observation group(0.00%)and 4 cases(6.67%)in the control group(P<0.05).Conclusion The frog pulling method has a good clinical effect on sacroiliac joint disorder,which is more significant combined with the treatment of Shentong Zhuyu Decoction.The patients have obvious pain relief,improved symptoms and daily living ability,no adverse events and reactions,and no recurrence after 6 months of treatment.It is safe and reliable,worthy of application.