悬吊训练联合骨盆三维调整治疗产后耻骨联合的临床研究

Clinical study of sling exercise training combined with three-dimensional adjustment of pelvis in the treatment of postpartum pubic symphysis separation

目的探讨悬吊训练结合骨盆三维调整治疗产后耻骨联合分离的临床疗效。方法选取2017年06月—2018年05月在我院产科生产后耻骨联合分离患者40例,年龄26~35岁,随机分为对照组及治疗组。对照组只进行骨盆三维复位,治疗组复位前进行30 min悬吊训练,然后在悬吊系统的支持下进行骨盆三维复位。比较复位前、复位后即刻、复位后8周VAS评分及耻骨联合分离程度。结果两组患者复位后即刻,VAS评分及耻骨联合分离程度相比,差异有统计学意义;两组患者复位后8周,耻骨联合分离程度相比差异有统计学意义。结论8周随访,两种治疗方案均可不同程度缓解患者疼痛及耻骨联合分离程度,但悬吊训练后进行骨盆三维复位能更好的改善耻骨联合分离程度,且可即刻改善患者疼痛及耻骨联合分离程度,较单纯复位更能有效缓解患者临床症状,改善患者生活质量。

Objective:To investigate the clinical effect of sling exercise training combined with three-dimensional adjustment of pelvis in the treatment of postpubic symphysis separation.Method:40 cases of pubic symphysis separation were 26-35 years old.Randomly divided into control group and treatment group,control group for three-dimensional adjustment of pelvis,treatment group before three-dimensional adjustment of pelvis for 30 minutes sling exercise training treatment.Then reset it with the support of sling exercise training.VAS score and pubic symphysis separation degree before treatment,immediately after treatment and 8 weeks after treatment were compared.Results:Compared with the control group,the VAS score and pubic symphysis separation degree of the treatment group was significantly different from that of the control group at the moment of restored.At 8 weeks after reduction,the difference in the degree of pubic symphysis separation between the two groups was statistically significant.Conclusion:Sling exercise training combined with three-dimensional adjustment can better improve the pubic symphysis separation degree,and can instantly reduce the patient's pain and pubic symphysis separation degree.