[1]田强△ 赵家友 范志勇 郭汝松 吴山.骶髂关节调整手法治疗腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2016,24(04):12-14.
 TIAN Qiang ZHAO Jiayou FAN Zhiyong GUO Rsong WU Shan.Clinical Study of Sacroiliac Joint Adjustment Massage in Treatment of Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(04):12-14.
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骶髂关节调整手法治疗腰椎间盘突出症的临床研究
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年04期
页码:
12-14
栏目:
临床研究
出版日期:
2016-04-15

文章信息/Info

Title:
Clinical Study of Sacroiliac Joint Adjustment Massage in Treatment of Lumbar Disc Herniation
文章编号:
1005-0205(2016)04-0012-03
作者:
田强1△ 赵家友1 范志勇1 郭汝松1 吴山1
1.广东省中医院推拿科(广州,510120)
Author(s):
TIAN Qiang1 ZHAO Jiayou1 FAN Zhiyong1 GUO Rüsong1 WU Shan1
1.Massage Department,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,China.
关键词:
腰椎间盘突出症 骶髂关节 推拿
Keywords:
lumbar disc herniation sacroiliac joint massage
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察骶髂关节调整手法治疗腰椎间盘突出症的临床疗效。方法:将纳入研究的60名患者随机分成2组:治疗组采用骶髂关节调整手法治疗; 对照组采用常规推拿治疗。手法操作每周3次,共治疗4周。在治疗后及3个月后比较两组VAS评分、M-JOA评分情况及临床疗效。结果:治疗结束后及治疗结束3个月后,治疗组患者疼痛VAS评分分别为2.05±1.47和1.34 ±1.24,M-JOA评分分别为25.73±4.71和26.38±3.82; 对照组疼痛VAS评分分别为3.17±1.68和3.52±1.79,M-JOA评分分别为20.10±4.22和18.09±3.46.上述时间点两组与治疗前VAS评分比较,均有显著下降,差异有统计学意义(P<0.05); M-JOA评分比较,均有显著提高,差异有统计学意义(P<0.05)。上述时间点两组相互比较,患者疼痛VAS评分和M-JOA评分差异均有统计学意义(P<0.05)。结论:骶髂关节调整手法治疗腰椎间盘突出症具有很好的疗效,重视骶髂关节的手法治疗可能是提高疗效的一个重要因素。
Abstract:
Objective:To observe the clinical efficacy of sacroiliac joint adjustment massage in treating lumbar disc herniation(LDH).Methods:60 patients were randomly divided into two groups.The treatment group took sacroiliac joint adjustment massage therapy and the control group underwent conventional massage three times a week for 4 weeks.The VAS score,M-JOA score and clinical efficacy were compared between the two groups after treatment and 3 months after treatment.Results:The pain VAS scores after treatment and 3 months fter treatment in treatment groupwere 2.05±1.47 and 1.34±1.24,M-JOA score was 25.73±4.71 and 26.38±3.82.The pain VAS scores in the control group were 3.17±1.68 and 3.52±1.79,M-JOA score was 20.10±4.22 and 18.09±3.46.The VAS scores in two groups were significantly lower than those before treatment,and the difference was significant(P<0.05).M-JOA score was significantly increased,and the difference was significant(P<0.05).The pain VAS score,M-JOA score were significantly different in two groups(P<0.05).Conclusion:Sacroiliac joint adjustment massage has good efficacy in treating LDH,and it may be an important factor in improving efficacy.

参考文献/References:

[1] 国家中医药管理局.中医病症诊断疗效标准[S].南京:南京大学出版社,1994:203-204.
[2] 吴山.林应强筋伤学术经验撷英[M].北京:人民卫生出版社,2015:35-36.
[3] Vleeming A,Albert HB,Ostgaard HC,et al.European guidelines for the diagnosis and treatment of pelvic girdle pain[J].Eur Spine J,2008,17(6):794-819.
[4] Spangfort EV.The lumbar disc herniation.a computer-aided analysis of 2 504 operations[J].Acta Orthop Scand Suppl,1972,142:1-95.
[5] Dreyfuss P,Dryer S,Griffin J,et al.Positive sacroiliac screening tests in asymptomatic adults[J].Spine,1994,19(10):1138-1143.
[6] Levangie PK.The association between static pelvic asymmetry and low back pain[J].Spine,1999,24(12):1234-1242.
[7] 刘永杰,杜荣莲.误诊为腰椎间盘突出症的骶髂关节炎12例分析[J].中华风湿病学杂志,2001,5(4):265.
[8] 王爱祥,徐庆先,赵建宁.骶髂关节疾病误诊为腰椎间盘突出症的原因分析[J].颈腰痛杂志,1999,20(4):303.
[9] 王朝辉,齐伟.调整骶髂关节手法治疗腰椎间盘突出伴骶髂关节错位的疗效[J].中国老年学杂志,2011,31(24):4938-4939.
[10] 师宁宁,沈国权,何水勇,等.骶髂关节紊乱与腰椎间盘退变之间相关性的流行病学研究与生物力学分析[J].中国骨伤,2014,27(7):560-564.
[11] 吴山,张美超,李义凯,等.两种坐位旋转手法腰椎应力及位移的有限元分析[J].广东医学,2010,31(8):992-994.
[12] 王廷臣.骶髂关节错位的理论思考[J].中国组织工程研究与临床康复,2008,12(11):2161-2163.

备注/Memo

备注/Memo:
收稿日期:2015-10-04
基金项目:广东省财政厅项目-岭南林氏正骨推拿的传承及应用 研究(2013KT1531)
1.广东省中医院推拿科(广州,510120)
△.通信作者 E-mail:17928466@qq.com
更新日期/Last Update: 2016-04-15