推拿联合藏药白脉软膏治疗骶髂关节紊乱症30例临床观察

Clinical Observation of Tuina Combined with Zang Medicine Baimai Ointment in the Treatment of Sacroiliac Joint Disorder

目的:观察推拿联合藏药白脉软膏治疗骶髂关节紊乱症的临床疗效。方法:对60例骶髂关节紊乱症患者进行随机分组,按1:1比例分为观察组和对照组,每组30例。对照组接受常规推拿治疗;观察组在对照组的基础上加用白脉软膏外用治疗,治疗周期为2周。观察治疗前后两组的疼痛视觉模拟量表(VAS)、日本骨科协会评估治疗(JOA)评分、Oswestry功能障碍指数(ODI)评分的变化情况,并最终评估两组骶髂关节紊乱症患者的临床疗效。结果:①VAS评分方面,两组在经过2周疗程后均呈现显著下降(P<0.05);观察组在降低VAS评分方面优于对照组,且差异具有统计学意义(P<0.05)。②JOA评分方面,两组在经过2周疗程后均呈现显著提高(P<0.05);观察组在提高JOA评分方面优于对照组,且差异具有统计学意义(P<0.05)。③ODI评分方面,两组在经过2周疗程后均呈现显著下降(P<0.05);观察组在降低ODI评分方面优于对照组,且差异具有统计学意义(P<0.05)。④临床疗效方面,观察组治疗2周后的总有效率为96.67%(29/30);对照组为73.33%(22/30)。观察组的疗效优于对照组,且差异具有统计学意义(P<0.05)。结论:在常规推拿治疗基础上联合藏药白脉软膏外用在改善骶髂关节紊乱症疼痛、功能障碍方面疗效确切,其疗效优于单纯常规推拿治疗。

Objective To observe the clinical effect of Tuina combined with Zang medicine Baimai ointment on sacroiliac joint disorder.Methods Our study involved the random allocation of 60 patients diagnosed with sacroiliac joint disorders into two groups:an observation group and a control group.The control group was given routine Tuina,and the observation group was treated with Baimai ointment for external use on the basis of the control group,with a course of treatment of 2 weeks.Observe the changes of pain visual analogue scale(VAS),Japanese Orthopedic Association Evaluation Treatment(JOA)and Oswestry Dysfunction Index(ODI)before and after treatment,and finally evaluate the clinical efficacy of patients with sacroiliac joint disorder in the two groups.Results(1)In terms of VAS score,after two weeks of treatment,the VAS scores of the two groups were significantly reduced(P<0.05),and the observation group was obviously better than the control group in decreasing the VAS score.The VAS score showed a significant decrease,and these differences were found to be statistically significant(P<0.05).(2)In terms of JOA score,after two weeks of treatment,the JOA scores of both groups were significantly improved(P<0.05),and the observation group was significantly better than the control group in improving the JOA score,and the differences were statistically significant(P<0.05).(3)In terms of ODI scores,after two weeks of therapy,the ODI scores of patients in both groups were obviously reduced(P<0.05).The outcomes in the observation group exhibited significant improvement compared to the control group,and the difference was statistically significant(P<0.05).(4)In terms of therapeutic effectiveness,after a two-week therapy period,the observation group demonstrated an overall effective rate of 96.67%(29/30),while the control group achieved a rate of 73.33%(22/30).And the therapeutic effectiveness of the observation group was superior to the control group.The results in the control group exhibited a notably different outcome,and this variation was found to be statistically significant(P<0.05).Conclusion On the basis of routine Tuina therapy combined with Zang medicine Baimai ointment for external use,it is effective in improving the pain and dysfunction of sacroiliac joint disorder,and its curative effect is better than that of simple routine Tuina therapy.