腹式呼吸训练联合耻骨调整技术对产后耻骨联合功能障碍的治疗效果  

Effect of abdominal breathing training combined with pubic adjustment technique on the treatment of postpartum pubic symphysis dysfunction

作　　者：李舜[1] 宋成宪[1] 李太良 王润妹[1] 廖佳城 LI Shun;SONG Chengxian;LI Tailiang;WANG Runmei;LIAO Jiacheng(Rehabilitation Medicine Department of the Third Affiliated Hospital of Guangzhou Medical University 510150)

机构地区：[1]广州医科大学附属第三医院康复医学科,广州510150

出　　处：《实用医学杂志》2019年第9期1442-1444,1449,共4页The Journal of Practical Medicine

基　　金：广东省科学技术厅科学计划项目(编号:2015ZC007)

摘　　要：目的观察腹式呼吸训练联合耻骨调整技术对产后耻骨联合功能障碍患者骨盆疼痛的治疗效果。方法通过运动性测试筛选和确诊有耻骨联合功能障碍的产后骨盆带痛患者38例,随机分为两组,单纯治疗组采用肌肉能量技术(MET)调整耻骨的运动趋势,联合治疗组增加腹式呼吸训练,观察所有患者第3天和2周后的治疗效果。结果治疗后第3天两组患者VAS、ODI评分明显降低,与治疗前比较差异有统计学意义(P <0.01)。2周后单纯治疗组骨盆带痛的复发率为55%,联合治疗组为22%,两组复发率及VAS比较差异有显著性意义(P <0.05),但两组的ODI评分比较差异无统计学意义(P> 0.05)。结论耻骨运动趋势调整技术能较快改善耻骨联合功能障碍患者的疼痛和功能障碍,但有部分患者的骨盆带痛仍会反复,联合腹式呼吸训练可强化治疗效果,对疼痛的缓解可起到较好的持续作用。Objective To observe the therapeutic effect of abdominal breathing training combined with pubic adjustment technique on pelvic pain in patients with postpartum pubic symphysis. Method 38 patients with postpartum pelvic pain with pubic symphysis were screened and diagnosed by mobility test. They were randomly divided into two groups. All patients used muscle energy technology to adjust the pubis. The observation group were combined with abdominal breathing training,and observed the treatment effect of all patients on day 3 and 2 weeks later. Results On the third day after treatment,the VAS and ODI scores of the two groups were significantly lower than those before treatment(P < 0.01). After 2 weeks,the recurrence rate of pelvic pain was 55% in the simple treatment group and 22% in the combined treatment group. There was significant difference in the recurrence rate and VAS between the two groups(P < 0.05). And the ODI of two groups did not change significantly. Conclusion The technique of adjusting the tendency of pubic movement can relieve quickly the pain and dysfunction of postpartum pubic symphysis dysfunction. Combined abdominal breathing training can strengthen the treat ment effect and can achieve a better sustained effect of relieving pain.

关 键 词：耻骨联合功能障碍 产后骨盆带痛 整骨 腹式呼吸训练 运动性测试 

分 类 号：R714.6[医药卫生—妇产科学]