针刺联合正骨手法治疗复发性产后骨盆环损伤综合征疗效观察  

Observation on the curative effect of acupuncture combined with bone setting manipulation in the treatment of recurrent postnatal pelvic ring injury syndrome

作　　者：王明星 李树怀 董小磊 杜美容 刘伟然 孙映雪 王巍[1] WANG Mingxing;LI Shuhuai;DONG Xiaolei;DU Meirong;LIU Weiran;SUN Yingxue;WANG Wei(Tangshan Maternal and Child Health Hospital,Tangshan 063000,HeiBei,China;Laoting County Hospital of Traditional Chinese Medicine,TangShan 063600,HeiBei,China;The Second People’s Hospital of Fengrun District,Tangshan 064000,Hebei,China)

机构地区：[1]唐山市妇幼保健院,河北唐山063000 [2]乐亭县中医医院,河北乐亭063600 [3]唐山市丰润区第二人民医院,河北唐山064000

出　　处：《现代中西医结合杂志》2021年第26期2882-2885,2890,共5页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：河北省中医药管理局科研计划项目(2020418)。

摘　　要：目的探讨针刺联合正骨手法治疗复发性产后骨盆环损伤综合征的临床疗效。方法选择2018年1月—2020年2月在唐山市妇幼保健院就诊的74例复发性骨盆环损伤综合征患者为研究对象,采用随机数字表法将患者分为对照组和观察组各37例。对照组在常规干预的基础上给予正骨手法治疗,观察组在对照组治疗基础上给予针刺治疗,2组均治疗2周。观察2组患者治疗前后视觉模拟疼痛评分(VAS)、日本骨科协会下腰痛(JOA)评分,统计2组患者骨盆挤压试验阳性率和临床疗效。结果治疗后2组患者VAS评分均较治疗前显著降低(P均<0.05),且观察组治疗后VAS评分低于对照组(P<0.05);治疗后2组患者JOA评分均较治疗前显著升高(P均<0.05),且观察组治疗后JOA评分高于对照组(P<0.05)。观察组和对照组骨盆挤压试验阳性率分别为13.5%(5/37)和40.5%(15/37),观察组显著低于对照组(P<0.05)。观察组和对照组治疗总有效率分别为97.3%(36/37)和78.4%(29/37),观察组显著高于对照组(P<0.05)。结论针刺联合正骨手法治疗复发性骨盆环损伤综合征可明显减轻患者疼痛,改善功能障碍,治疗效果更好。Objective It is to explore the clinical effect of acupuncture combined with bone setting manipulation in the treatment of recurrent postnatal pelvic ring injury syndrome.Methods A total of 74 patients with recurrent pelvic ring injury syndrome who were treated in Tangshan Maternal and Child Health Hospital from January 2018 to February 2020 were selected as the study objects,and the patients were divided into a control group and an observation group by random number table method,37 cases in each group.The control group was treated with bone setting manipulation on the basis of routine intervention,and the observation group was treated with acupuncture on the basis of the control group.Both groups were treated for 2 weeks.The scores of VAS and JOA of the two groups were observed before and after intervention,and the positive rate and clinical efficiency of pelvic compression test were counted.Results After treatment,the VAS scores of the two groups were significantly lower than those before treatment,and the VAS score of the observation group after treatment was lower than that of the control group(P<0.05);after treatment,the JOA score of the patients in both groups was significantly higher than that before treatment,and the JOA score in the observation group was higher than that in the control group(P<0.05).The positive rates of the pelvic compression test in the observation group and the control group were 13.5%(5/37)and 40.5%(15/37),respectively,the observation group was significantly lower than the control group(P<0.05).The total effective rates of treatment in the observation group and control group were 97.3%(36/37)and 78.4%(29/37),respectively,the observation group was significantly higher than the control group(P<0.05).Conclusion Acupuncture combined with bone setting manipulation can reduce pain score,improve dysfunction and improve clinical efficacy in the treatment of recurrent pelvic ring injury syndrome.

关 键 词：骨盆环损伤综合征 复发 针刺疗法 正骨手法 

分 类 号：R714.46[医药卫生—妇产科学]