中低周波联合推拿疗法对产后腰痛的治疗效果

Curative effect of low and medium frequency combined with massage therapy on postpartum lumbago

目的探讨中低周波联合推拿疗法对产后腰痛的治疗效果。方法将2019年11月至2020年6月江苏省淮安市妇幼保健院产后保健科就诊的80例产后腰痛患者作为研究对象,运用随机数字法分为对照组和观察组,每组40例。对照组予以常规推拿疗法治疗,观察组在对照组基础上予以中低周波治疗,比较两组临床疗效、疼痛数字评价量表(NRS)评分、Roland-Morris功能障碍调查量表(RMDQ)评分、腹背肌耐力、腰椎活动度及爱丁堡产后抑郁量表(EPDS)评分。结果观察组总有效率高于对照组(P<0.05);治疗后两组NRS、RMDQ评分低于治疗前,且观察组低于对照组(P<0.05);治疗后两组腹背肌耐力时间长于治疗前,且观察组长于对照组;治疗后两组前屈角度、后伸角度、侧屈角度、旋转角度大于治疗前,且观察组大于对照组(P<0.05);治疗后两组EPDS评分低于治疗前,且观察组低于对照组(P<0.05)。结论中低周波联合推拿疗法能有效改善产后腰痛患者疼痛,增加治疗有效率,改善腹背肌功能,减轻产后抑郁。

Objective To explore the curative effect of low and medium frequency combined with massage therapy on postpartum lumbago.Methods A total of 80 patients with postpartum lumbago were selected as the research objects who visited the Department of Postpartum Health Care,Huaian Maternal and Child Health Hospital of Jiangsu Province from November 2019 to June 2020 were selected as the study subjects.They were divided into control group and observation group by random number method,with 40 cases in each group.The control group was treated with conventional massage,the observation group was treated with low and medium frequency therapy on the basis of the control group.The two groups were compared in terms of clinical efficacy,pain numerical rating scale(NRS)score,Roland-Morris dysfunction survey(RMDQ)score,abdominal and dorsal muscle endurance,lumbar mobility and postpartum depression degree.Results The total effective rate of observation group was better than that of control group(P<0.05);the NRS and RMDQ scores of the two groups after treatment were lower than those before treatment,and observation group were lower than control group(P<0.05);the lumbar and dorsal muscle endurance time of the two groups after treatment were longer than those before treatment,and the observation group was longer than control group(P<0.05);the anterior flexion angle,posterior extension angle,lateral flexion angle,and rotation angle of the two groups after treatment were larger than those before treatment,and the observation group were larger than the control group(P<0.05);the scores of Edinburgh postpartum depression scale(EPDS)of the two groups were lower than those before treatment,and the observation group was lower than the control group.Conclusion Low and medium frequency combined with massage therapy can effectively improve the pain of patients with postpartum lumbago,increase the effective rate of treatment,improve the endurance of abdominal muscle,and reduce postpartum depression.