基于DIERS评估系统的诊断准确性探讨中医正骨手法联合针刺治疗产后腰痛的临床疗效

Chinese Manipulation Combind with Acupuncture for Postpartum Low Back Pain Based on Diagnostic Accuracy of DIERS

【目的】观察中医正骨手法联合针刺治疗产后腰痛的临床疗效。【方法】将120例产后腰痛患者随机分为观察组和对照组,每组各60例,对照组给予针刺治疗,观察组在对照组治疗的基础上,给予龙氏治脊疗法治疗。治疗7 d为1个疗程,连续治疗2个疗程。治疗2周后,评价2组临床疗效,观察2组患者治疗前后视觉模拟量表(VAS)评分的变化情况,以及Oswestry功能障碍指数问卷(ODI)评分的情况。采用DIERS评估系统检测2组患者治疗前后脊柱弯曲程度及骨盆倾斜的变化情况。治疗结束1个月后随访患者的复发情况,比较2组的复发率。【结果】(1)治疗后,2组患者的VAS评分明显改善(P<0.05),且观察组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的ODI评分明显改善(P<0.05),且观察组在改善ODI评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的椎体最大旋转角度、骨盆扭转角度明显改善(P<0.05),且观察组在改善椎体最大旋转角度、骨盆扭转角度方面明显优于对照组,差异有统计学意义(P<0.05)。(4)观察组总有效率为95.00%(57/60),对照组为76.67%(46/60)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(5)观察组复发率为8.33%(5/60),对照组为21.67%(13/60)。观察组复发率低于对照组,差异有统计学意义(P<0.05)。【结论】中医正骨手法联合针刺治疗产后腰痛,能明显改善患者的疼痛症状,改善患者腰椎功能,从而提高患者生活质量,疗效显著。

Objective To observe the clinical efficacy of Chinese manipulation combined with acupuncture in the treatment of postpartum low back pain. Methods The 120 patients with postpartum low back pain were randomly divided into the observation group and the control group,with 60 patients in each group. The control group was given acupuncture treatment,while the observation group was given LONG’s chiropractic treatment on the basis of the treatment of the control group. Both groups of patients were treated with 2 consecutive courses of treatment and7 days of treatment was considered as a course of treatment. After 2 weeks of treatment,the clinical efficacy of the two groups was evaluated, and the changes in the Visual Analogue Scale(VAS) scores and the Oswestry Dysfunctional Index Questionnaire(ODI)scores of the two groups were observed before and after treatment. The DIERS assessment system was used to detect changes in spinal curvature and pelvic tilt in the two groups before and after treatment. Patients were followed up one month after the end of treatment to calculate and compare the recurrence rate of the two groups. Results (1)After treatment,the VAS scores of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the VAS scores,the difference being statistically significant(P<0.05).(2)After treatment,the ODI scores of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the ODI scores,the difference being statistically significant(P<0.05).(3)After treatment,the maximum angle of rotation of the vertebral body and the pelvic torsion angle of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the maximum angle of rotation of the vertebral body and the pelvic torsion angle, the difference being statistically significant(P<0.05).(4)The total effective rate was 95.00%(57/60)in the observation group and 76.67%(46/60)in the control group. The efficacy of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(5)The recurrence rate was 8.33%(5/60)in the observation group and21.67%(13/60)in the control group. The recurrence rate of the observation group was lower than that of the control group,the difference being statistically significant(P<0.05). Conclusion Chinese manipulation combined with acupuncture for postpartum low back pain has significant effects in improving the patient’s pain symptoms and the function of the patient’s lumbar spine,thereby improving the patient’s quality of life with remarkable efficacy.