J型针刀联合青藤碱治疗骶髂关节炎的临床疗效观察

Clinical Observation of J-Type Needle Knife Combined with Sinomenine in the Treatment of Sacroiliac Arthritis

目的探究J型针刀联合青藤碱治疗骶髂关节炎患者的临床疗效。方法将医院2022年5月至2023年12月收治的40例骶髂关节炎患者按照随机数字表法分为观察组和对照组,各20例。观察组采用J型针刀联合青藤碱治疗,对照组给予双氯芬酸钠片治疗,两组均连续治疗16 d。比较两组临床疗效、视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)、巴氏强直性脊柱炎功能指数(BASFI)评分、症状积分及不良反应发生情况。结果观察组治疗总有效率高于对照组(P<0.05);治疗后两组VAS、ODI、BASFI评分均低于治疗前(P<0.05),但组间比较差异无统计学意义(P>0.05);治疗后两组症状积分均低于治疗前(P<0.05),且观察组关节活动障碍度、晨僵及症状总积分均低于对照组(P<0.05);两组均未见严重不良反应。结论J型针刀联合青藤碱和口服双氯芬酸钠片均对骶髂关节炎治疗有效,J型针刀联合青藤碱治疗效果更佳,在改善关节活动度、提高患者生活质量方面更具有优势。

Objective To observe the clinical efficacy of J-type needle knife combined with Sinomenine in the treatment of sacroiliac arthritis patients.Methods Forty patients with sacroiliac arthritis admitted to the hospital from May 2022 to December 2023 were randomly divided into an observation group and a control group,with 20 cases in each group,using a random number table method.The observation group was treated with J-type needle knife combined with sinomenine,while the control group was treated with diclofenac sodium tablet.Both groups were treated continuously for 16 days.The clinical efficacy,visual analogue scale(VAS)scores,Oswestry Dysfunction Index(ODI)scores,Bath Ankylosing Spondylitis Functional Index(BASFI)scores,symptom scores and incidence of adverse reactionswere compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,VAS scores,ODI scores,BASFI scores of the two groups were significantly lower than those in the same group before treatment(P<0.05),but there was no statistically significant difference between the two groups(P>0.05).After treatment,the symptoms scores of both groups were lower than before treatment(P<0.05),and the joint mobility,morning stiffness,and total symptom scores of the observation group were lower than those of the control group(P<0.05).No serious adverse reactions were observed in both groups.Conclusion J-type needle knife combined with sinomenine and oral diclofenac sodium tablets,is effective in the treatment of sacroiliac arthritis.The combination of J-type needle knife and sinomenine is more effective in improving joint mobility and enhancing quality of life of patient.