整脊手法配合呼吸训练治疗产后腰痛疗效的临床观察  

作　　者：郑亦斌 房明明 胡庆川 徐耀[4] 冉明山[5] 刘艳[6] 杜娟[6] 

机构地区：[1]北京市昌平区中西医结合医院推拿科,102208 [2]济宁市中医院推拿科,272000 [3]北京中医药大学,100029 [4]航天中心医院,100004 [5]北京大学首钢医院康复医学科,100144 [6]北京市昌平区中西医结合医院妇产科,102208

出　　处：《中国疗养医学》2022年第7期724-727,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的观察整脊手法配合呼吸训练治疗产后腰痛的临床效果。方法选择2019年12月至2021年12月北京市昌平区中西医结合医院推拿科、妇产科的23~35岁适龄产妇患产后腰痛病患者99例,使用SPSS转换菜单下计算变量功能中的Rv.Uniform函数生成1列随机数字;使用转换菜单下的可视分箱功能,生成2个等相等百分位数分割点,把随机数字进行分割,并赋予组别标签。分为整脊组、呼吸训练组、整脊配合呼吸训练组。采集治疗前和治疗后当天、治疗后3 d、治疗后1周患者的疼痛视觉模拟评分(visual analogue scale,VAS)、日本骨科协会评估治疗评分(Japanese orthopaedic association scores,JOA)。结果与治疗前相比,各组治疗各时期的VAS评分均下降(P<0.05)。整脊组治疗后3 d和1周VAS评分均值比治疗当天有所回升[整脊组治疗后当天(2.61±1.30)分,治疗后3 d(3.67±1.38)分,治疗后1周(3.79±1.60)分],而呼吸训练组和整脊配合呼吸训练组治疗后的VAS评分均值持续下降。整脊配合呼吸训练组治疗后各时期的VAS评均值比其他两组更低[呼吸训练组治疗后当天(5.15±2.27)分,治疗后3 d(4.55±1.95)分,治疗后1周(3.79±1.62)分;整脊配合呼吸训练组治疗后当天(2.67±1.32)分,治疗后3 d(2.21±1.02)分,治疗后1周(1.76±0.87)分]。与治疗前相比,各组治疗后JOA评分均有所升高(P<0.05)。进一步比较发现,呼吸训练组和整脊配合呼吸训练组的治疗后JOA评分均值[呼吸训练组治疗前(17.67±2.15)分,治疗后当天(20.91±2.27)分,治疗后3 d(23.79±2.00)分,治疗后1周(25.09±1.91)分;整脊配合呼吸训练组治疗前(17.70±2.10)分,治疗后当天(23.55±2.05)分,治疗后3 d(26.30±2.05)分,治疗后1周(26.73±1.96)分]仍然明显持续上升,而且整脊配合呼吸训练组在治疗后VAS评分比整脊组、呼吸训练组更优。结论整脊治疗能快速缓解疼痛后续效果不稳定,呼吸训练缓解疼痛治疗周期略长但是后续效�Objective To observe the clinical effect of chiropractic manipulation combined with respiratory training in the treatment of postpartum low back pain.Methods From December 2019 to December 2021,a total of 99 cases of postpartum low back pain patients aged 23 to 35 years were selected from the Department of Massage and Obstetrics and Gynecology,Changping District Hospital of Integrated Traditional Chinese and Western Medicine,Beijing.SPSS was used to calculate the Rv.Uniform function in the variable function under the transformation menu to produce a column of random numbers.The visual box splitting function under the conversion menu was used to generate 2 equal percentile splitting points,divide the random numbers,and assign group labels.They were divided into chiropractic group,respiratory training group,chiropractic with respiratory training group.Patients'Visual Analogue Scale(VAS)and Japanese Orthopaedic Association(JOA)scores were collected before and on the day after treatment,3 days after treatment and 1 week after treatment.Results Compared with before treatment,VAS score in each treatment period was decreased in all groups(P<0.05).The mean VAS scores of the chiropractic group at 3 d and 1 week after treatment increased compared with that of the day of treatment[the chiropractic group at the day of treatment(2.61±1.30),3 days after treatment(3.67±1.38),and 1 week after treatment(3.79±1.60)],while the mean VAS scores of the respiratory training group and the chiropractic combined with respiratory training group continued to decrease after treatment.The mean VAS score of the chiropractic combined with respiratory training group was lower than that of the other two groups in each period after treatment[on the day after treatment(5.15±2.27),3 days after treatment(4.55±1.95),and 1 week after treatment(3.79±1.62);the chiropractic combined with respiratory training group:The day after treatment(2.67±1.32)points,3 days after treatment(2.21±1.02)points,1 week after treatment(1.76±0.87)points].Compared wit

关 键 词：产后腰痛 整脊手法 呼吸训练 

分 类 号：R714.6[医药卫生—妇产科学] R493[医药卫生—临床医学]