小针刀疗法联合手法治疗产后骶髂关节错缝症的临床观察

Clinical Observation on Acupotomy Therapy Combined with Manipulation in the Treatment of Postpartum Sacroiliac Joint Dislocation

【目的】观察小针刀疗法联合手法治疗产后骶髂关节错缝症的临床疗效。【方法】将60例产后骶髂关节错缝症患者随机分为观察组和对照组,每组各30例,对照组给予手法治疗,观察组在对照组治疗的基础上,给予小针刀疗法治疗。3周为1个疗程,共治疗1个疗程。治疗1个疗程后,评价2组临床疗效,观察2组患者治疗前、治疗后、随访1个月疼痛视觉模拟量表(VAS)评分的变化情况,以及骶髂关节功能日本骨科协会(JOA)评分的情况。比较2组患者治疗前后Oswestry功能障碍指数(ODI)评分的变化情况。【结果】(1)治疗后及随访时,2组患者的VAS评分均明显改善(P<0.05),且观察组在改善VAS评分方面明显优于对照组,差异均有统计学意义(P<0.05)。(2)治疗后及随访时,2组患者的JOA评分均明显改善(P<0.05),且观察组在改善JOA评分方面明显优于对照组,差异均有统计学意义(P<0.05)。(3)治疗后及随访时,2组患者的ODI评分均明显改善(P<0.05),且观察组在改善ODI评分方面明显优于对照组,差异均有统计学意义(P<0.05)。(4)观察组总有效率为96.67%(29/30),对照组为70.00%(21/30),观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】小针刀疗法联合手法治疗产后骶髂关节错缝症,在缓解腰骶部疼痛症状、促进患者骶髂关节功能恢复方面具有显著的临床疗效,且随访疗效较稳定。

Objective To observe the clinical effect of acupotomy therapy combined with manipulation in treating postpartum sacroiliac joint dislocation.Methods Sixty patients with postpartum sacroiliac joint dislocation were randomly divided into an observation group and a control group,30 patients in each group.The control group was given manipulative treatment and the observation group was given acupotomy treatment on the basis of the treatment in the control group.Three weeks was a course of treatment and a total of one course of treatment was given.After one course of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the pain Visual Analogue Scale(VAS)scores,and the Japanese Orthopaedic Association(JOA)scores of postpartum sacroiliac joint function were observed at one month follow-up and before and after treatment in the two groups.The changes in Oswestry Dysfunction Index(ODI)scores was compared before and after treatment in the two groups of patients.Results(1)After treatment and at follow-up,the VAS scores of both groups was significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the VAS scores,and the difference was statistically significant(P<0.05).(2)After treatment and at follow-up,the JOA scores of both groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the JOA scores,and the difference was statistically significant(P<0.05).(3)After treatment and at follow-up,the ODI scores of both groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the ODI scores,and the difference was statistically significant(P<0.05).(4)The total effective rate of the observation group was 96.67%(29/30),compared with 70.00%(21/30)in the control group,and the curative effect of the observation group was superior to that of the control group,and the difference was statistically significant(P<0.05).Conclusion Acupotomy therapy combined with manipulation for postpartum sacroiliac joint dislocation has significant clinical efficacy in relieving the symptoms of lumbosacral pain and promoting the recovery of sacroiliac joint function of patients,and the efficacy is more stable at follow-up.