针刺联合正骨手法对产后骨盆环损伤综合征患者JOA和ODI的改善效果-《西部中医药》

文章信息/Info

Title:: Effects of Needling Combined with Bone Setting Manipulaion on JOA and ODI in Patients with PPRI

作者:: 王明星¹, 李树怀², 董小磊³, 杜美容¹, 刘伟然¹, 孙映雪¹, 王巍¹; 1.唐山市妇幼保健院，河北唐山 063000
2.乐亭县中医医院
3.唐山市丰润区第二人民医院

Author(s):: WANG Mingxing¹, LI Shuhuai², DONG Xiaolei³, DU Meirong¹, LIU Weiran¹, SUN Yingyue¹, WANG Wei¹; 1.Tangshan City Maternal and Child Health Care Hospital, Tangshan 063000, China
2.Leting County Hospital of Traditional Chinese Medicine
3.Tangshan City Fengrun District Second People’s Hospital

Keywords:: PPRI; postpartum body pain; postpartum lumbago; needling; bone setting manipulation

摘要:: 目的探讨针刺联合正骨手法对产后骨盆环损伤综合征（postnatal pelvic ring injury，PPRI）患者日本骨科协会评估治疗评分（Japanese orthopaedic association scores，JOA）和腰椎Oswestry功能障碍指数（oswestry disability index，ODI）的改善效果。方法按照随机数字表法将86例PPRI患者随机分为观察组和对照组，每组43例，对照组给予常规康复联合正骨手法治疗，观察组给予常规康复、正骨手法及针刺治疗。观察两组干预前后JOA评分、ODI和疼痛视觉模拟评分（visual analogue score，VAS评分）及临床疗效。结果干预后两组JOA评分均高于干预前（P＜0.05），且观察组增高更明显（P＜0.05）；干预后两组VAS和ODI均较干预前显著降低（P＜0.05），且观察组降低更明显（P＜0.05）；观察组治疗总有效率［96.67%（42/43）］高于对照组［81.40%（35/43）］（P＜0.05）。结论针刺联合正骨手法治疗PPRI，可改善患者腰椎功能，减轻疼痛程度，提高临床有效率。

Abstract:: ObjectiveTo discuss the effects of needling and bone setting manipulation on ODI and JOA in PPRI patients. MethodsAll 86 PPRI patients were allocated to the observation group and the control group according to random number table method, with 43 cases in each group, the control group accepted conventional rehabilitation and bone setting manipulation, and the observation group conventional rehabilitation, bone setting manipulation and acupuncture. To observe JOA, ODI, VAS scores and clinical effects before and after the interven-tion. ResultsAfter the intervention, JOA scores of both groups were higher than these before the intervention (P<0.05), and the increase of the observation group was more notable (P<0.05); after the intervention, VAS and ODI of both groups lowered than these before the intervention remarkably (P<0.05), and the decrease of the observation group was more notable (P<0.05); total effective rate of the observation group was 96.67% (42/43), higher than 81.40% (35/43) of the control group (P<0.05). ConclusionNeedling and bone setting manipulation in treating PPRI could improve lumbar function, relieve the degree of pain and lift clinical effective rate.