| Objective: The purpose of this study aims to provide more selectivity for the clinical treatment of sacroiliac joint injury.According to the tutor's clinical experience,and compared with the conventional massage treatment,using the treatment of Jingutongzhi to treat sacroiliac joint injury is in order to study the effectiveness and explore the advantages of the massage treatment of Jingutongzhi.It is to provide a better treatment plan for the massage treatment of sacroiliac joint injury.Methods:All the patients in this study were from the inpatient and outpatient department of the massage department in Yunnan traditional Chinese Medicine Hospital from December 2017 to the end of February 2019.Sixty patients with sacroiliac joint injuries who met the inclusion criteria were numbered 1-60 and randomly divided into two groups,namely 30 in the control group and the rest in the treatment group.30 patients in the control group were treated with conventional massage[1]and at the same time the other 30 were treated with the massage treatment of Jingutongzhi.Each patient in the two groups was given treatment for about 15 minutes at a time,once a day,five times a week,2 weeks as a course of treatment do that the clinical efficacy could be evaluated after the end of a course of treatment.The indicators for efficacy observation were modified Japanese orthopaedic society low back pain assessment scale(M-JOA),visual analogue scale(VAS)and who quality of life(WHOQOL--BREF).The M-JOA,VAS and WHOQOL--BREF scale were used to evaluate the lower back pain of the(JOA),and carrying out the statistical analysis.Result:(1)Comparison of VAS score: There was no significant difference between the control group and the treatment group before treatment(P>0.05)which wascomparable.After treatment,significant differences were found(P<0.05)through statistical analysis.The score of the treatment group was 3.80±2.074,and that of the control group was 5.33±1.422.The VAS score of the patients with sacroiliac joint injury in the treatment group was lower than that of the control group which indicates that in the aspect of improving the pain of sacroiliac joint injury the treatment group was better than the control group.(2)Comparison of M-JOA score: There was no significant difference between the two groups in the comparison of m-joa score before treatment(P>0.05),which was comparable.After one course of treatment,the M-JOA score of the two groups was 7.30±1.086 while that of the control group was 9.20±0.714,P<0.05 and the difference had statistical significance.The score of the treatment group was significantly lower than that of the control group.In terms of M-JOA/subjective symptom score,objective symptom score and daily working ability score,there was no significant difference between the two groups before treatment(P>0.05).It was comparable.After treatment,P<0.05,it was obviously different and had statistical significance,and the score of the treatment group was significantly lower than that of the control group which indicates that the treatment group was superior to the control group in the treatment of sacroiliac joint injuries.(3)Comparison of the score in the summary table of the World Health Organization quality of life measurement scale: There was no significant difference in the score before treatment between the two groups(P>0.05),which was comparable.After treatment,with significant difference(P < 0.05),the difference was statistically significant.The treatment group score was 3.57±0.774 and the control group score was 2.90±0.548 that the treatment group was obviously higher than that of control group.In the five aspects of health satisfaction,physical dimensions,psychological dimension,social dimension,and environmental dimensions,the two groups before treatment had no obvious difference,P > 0.05,which was comparable.Meanwhile it had significant difference after treatment(P < 0.05)and the score of the treatment group was obviously higher than that of control group which indicates that the treatment group in improving quality of life for patients with sacroiliac joint injury isbetter than that in control group.(4)Comparison of clinical efficacy: After a course of treatment,2 cases were cured,24 cases were improved and 4 cases were not cured in the treatment group with a total effective rate of 86.7%;in the control group: 0 cases cured,24 cases improved,6 cases ineffective with the total effective rate was 80%.With statistical analysis of the effective rate of the two groups,P < 0.05,the difference was statistically significant.Conclusion:(1)Both the massage treatment of Jingutongzhi and the conventional massage treatment can effectively treat the sacroiliac joint injury.(2)By observing the M-JOA score,VAS score and WHOQOL——BREF score before and after treatment in the two groups shows that the treatment group was superior to the control group in terms of M-JOA score,VAS score,WHOQOL——BREF score and clinical efficacy rate.And there were no obvious adverse reactions in the two groups which indicates that the massage treatment of Jingutongzhi in the treatment of sacroiliac joint injury is better than the conventional massage treatment. |
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