针刺、整脊、功能锻炼综合治疗产后骶髂关节错缝症疗效观察

Therapeutic Observation of Acupuncture, Chiropractic plus Functional Exercise for Postpartum Sacroiliac Malposition

目的观察针刺、整脊、腰臀肌功能锻炼综合治疗产后骶髂关节错缝症的临床疗效。方法将40例产后骶髂关节错缝症患者随机分为A组、B组、C组和D组,每组10例。A组采用针刺、整脊、腰臀肌功能锻炼综合治疗,B组采用针刺配合整脊治疗,C组采用针刺配合腰臀肌功能锻炼治疗,D组采用整脊配合腰臀肌功能锻炼治疗,4组均隔日治疗1次。治疗5次后观察4组治疗前后改良Oswestry功能障碍指数评分变化情况,并比较两组临床疗效。结果 4组临床总有效率均为100.0%,各组间比较差异均无统计学意义(P>0.05)。4组治疗后及治疗后3个月随访时Oswestry功能障碍指数评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。B组治疗后Oswestry功能障碍指数评分与其他3组比较,差异均具有统计学意义(P<0.05)。A组和B组治疗后3个月随访时Oswestry功能障碍指数评分与同组治疗后比较,差异均具有统计学意义(P<0.05)。A组治疗后3个月随访时Oswestry功能障碍指数评分与其他3组比较,差异均具有统计学意义(P<0.05)。B组治疗后3个月随访时Oswestry功能障碍指数评分与C组和D组比较,差异均具有统计学意义(P<0.05)。结论针刺、整脊、腰臀肌功能锻炼综合治疗产后骶髂关节错缝症疗效确切,针刺配合整脊在近期疗效及消除症状方面作用明显,腰臀肌功能锻炼远期疗效作用明显。

Objective To observe the clinical efficacy of acupuncture, chiropractic plus functional exercise of lumbar and gluteal muscles in treating postpartum sacroiliac malposition. Method Forty patients with postpartum sacroiliac malposition were randomized into group A, group B, group C and group D, 10 cases in each group. Group A was intervened by acupuncture, chiropractic plus functional exercise of lumbar and gluteal muscles, group B by acupuncture plus chiropractic, group C by acupuncture plus functional exercise of lumbar and gluteal muscles, and group D by chiropractic plus functional exercise of lumbar and gluteal muscles. The four groups were intervened once every other day. The modified Oswestry Disability Index （ODI） score was observed before and after 5 treatment sessions, and the clinical efficacies in the four groups were compared. Result The total effective rates were 100.0% in the four groups, and the inter-group differences were statistically insignificant （P〉0.05）. The ODI scores in the four groups were significantly changed after treatment and in the 3-month follow-up study compared with those before the treatment （P〈0.05）. After the treatment, the ODI score in group B was significantly different from that in the other groups （P〈0.05）. The ODI scores in group A and B in the 3-month follow-up study were significantly different from those after the treatment in the same group （P〈0.05）. The ODI score in group A was significantly different from that in the other groups in the 3-month follow-up study （P〈0.05）. The ODI score in group B in the 3-month follow-up study was significantly different from that in group C and D （P〈0.05）. Conclusion Acupuncture, chiropractic plus functional exercise of lumbar and glutea! muscles is definitely effective in treating postpartum sacroiliac malposition, acupuncture plus chiropractic can produce a significant short-term efficacy and alleviate the symptoms, and functional exercise of lumbar and gluteal muscle can produce an obvious long-term efficacy.