清宫正骨弯腰挺立手法治疗骶髂关节紊乱的临床疗效观察

李强 樊效鸿 熊福生

【摘要】  目的  探讨清宫正骨弯腰挺立手法治疗骶髂关节紊乱的临床效果。方法  选取2021年9月- 2023年6月医院收治的骶髂关节紊乱患者60例作为研究对象，根据组间基线资料均衡可比原则分为观察组和对照组，每组各30例。观察组采用清宫正骨弯腰挺立手法治疗，对照组采用普通针刺联合布洛芬缓释胶囊，比较两组患者的临床疗效。结果  采用清宫正骨弯腰挺立法治疗后，观察组患者的总有效率为93.33%，显著高于对照组的63.33%，差异有统计学意义（P<0.05）。治疗前，两组患者VAS、ODI、JOA评分差异无统计学意义（P>0.05）；治疗后，两组患者VAS、ODI评分均下降、JOA评分均升高，但观察组患者VAS、ODI评分均低于对照组，JOA评分高于对照组，差异均有统计学意义（P<0.05）。结论  清宫正骨弯腰挺立手法治疗骶髂关节紊乱效果较好，能更好地缓解疼痛，且该手法方法简单、疗效明显，无不良反应。

【关键词】  骶髂关节紊乱；清宫正骨弯腰挺立手法

中图分类号  R681.6   文献标识码  A    文章编号  1671-0223（2024）13--04

Clinical effect of the Qinggong Orthopedic Bending and Standing Technique in the treatment of sacroiliac joint disorders  Li Qiang， Fan Xiaohong， Xiong Fusheng. Suining Traditional Chinese Medicine Hospital Orthopedics Department 2， Suining 692000， China

【Abstract】  Objective To explore the clinical effect of the manipulation of clearing the uterus， setting the bones， bending the waist and standing upright in the treatment of sacroiliac joint disorder. Methods  60 patients with sacroiliac disorders admitted to our hospital from September to June of the 20212023 were selected and divided into observation group and control group according to the principle of balanced and comparable baseline data， 30 cases in each group. The observation group was treated with Qinggongzhenggu bending and standing up manipulation， while the control group was treated with ordinary acupuncture combined with ibuprofen sustained-release capsule. The clinical effects of the two groups were compared. Results  The total effective rate of the treatment group was 93.33% ， which was significantly higher than that of the control group （63.33% ， P<0.05） . Before treatment， there was no significant difference in Vas， ODI and JOA scores between the two groups（P>0.05）， but after treatment， VAS， ODI scores decreased and JOA scores increased in both groups， but the VAS and ODI scores were lower and JOA scores were higher in the observation group than in the control group （P<0.5） . Conclusion The manipulation of clearing the uterus and setting the bones， bending the waist and standing upright is effective in the treatment of sacroiliac joint dislocation， and it can relieve the pain better.

【Key words】  Sacroiliac joint disorder; Qinggong bone-setting technique

骶骨与髂骨的通过耳状关节面连接，因外力作用而造成关节匹配失衡，韧带损伤，以致局部出现充血、水肿、粘连等无菌性炎症，且引起局部疼痛和功能障碍者，即为骶髂关节功能紊乱。该病已被证实是下腰痛（low back pain，LBP）发生的主要原因之一，有报道显示其比例达到15％～30％[1-2]。临床主要表现为一侧腰骶部疼痛、臀部及大腿后部的牵涉痛，也会出现膝部、腹股沟甚至足部的症状[3-4]，严重者出现歪腰扭臀、髋部活动受限，行走困难等等[5]。因为该病产生局部组织水肿刺激附近的肌肉和神经，引起腰部以及神经支配区域麻木疼痛，与腰椎间盘突出症症状相似[6]，并且有研究发现骶髂关节紊乱与腰椎间盘突出症，二者相互影响且有因果关系[7]，本病在临床上往往被误诊为腰椎间盘突出症等。……