局部阻滞治疗产后致密性骨炎性腰骶痛的临床观察

Clinical Observation of Local Block in Treatment of Postpartum Lumbosacral Algesia Caused by Sacroiliac Condensing Osteitis

目的观察局部阻滞疗法对产后因致密性骨炎引起的腰骶部疼痛的临床效果。方法将200例产后致密性骨炎性腰骶痛患者随机分成观察组和对照组各100例。对照组实施物理治疗,观察组注射利多卡因复合醋酸曲安奈德、维生素B12进行局部阻滞治疗。比较两组的临床疗效及12个月后的体征情况。结果观察组2、4、6、8、12个月的临床疗效均显著优于对照组,观察组患者Harris评分和坐立位前屈评分合格率,以及Patrick试验、骨盆挤压分离试验、骶髂关节扭转试验结果均显著优于对照组,差异有统计学意义(P<0.05)。结论局部阻滞可有效治疗产后骶髂关节致密性骨炎性腰骶痛。

Objective To observe the clinical effect of local block on postpartum lumbosacral algesia caused by sacroiliac condensing osteitis. Methods 200 patients with postpartum lumbosacral algesia caused by sacroiliac condensing osteitis were randomly divided into observation group and control group, with 100 cases in each group. The control group was given physical therapy, the observation group was given lidocaine combined with triamcinolone acetonide and vitamin B12 for local block therapy. The clinical efficacy and patients＇ physical sign 12 months after treatment were compared between two groups. Results The clinical effects of observation group 2, 4, 6, 8 and 12 months after treatment were better than those of control group; the qualification rate of Harris score and seated forward bends score, and the results of Patrick test, pelvic extrusion separation test and sacroiliac joint twist test of observation group were better than those of control group; all the difference was statistical（P〈0.05）. Conclusions Local block is effective in the treatment of postpartum lumbosacral algesia caused by sacroiliac condensing osteitis.