骨盆带、红外线和低频电刺激疗法在围产期耻骨联合分离中的应用效果比较

Comparison of Effects of Pelvic Band,Infrared and Low Frequency Electrical Stimulation in Perinatal Symphysis Pubis Separation1

目的:比较骨盆带、红外线和低频电刺激在围产期耻骨联合分离中的应用效果。方法:选取2021年6月—2023年6月深圳市罗湖区人民医院收治的围产期确诊为耻骨联合分离的产妇90例为研究对象,随机分为骨盆带组、红外线组及电刺激组,各30例。骨盆带组采用骨盆带治疗,红外线组采用红外线照射治疗,电刺激组采用低频电刺激治疗。比较三组耻骨联合宽度、疼痛程度及体征。结果:产后42、90 d,三组耻骨联合宽度均小于治疗前,且电刺激组小于红外线组和骨盆带组,红外线组小于骨盆带组,差异有统计学意义(P<0.05)。产后42、90 d,三组视觉模拟评分法评分均低于治疗前,且红外线组和电刺激组低于骨盆带组,差异有统计学意义(P<0.05)。产后42 d,电刺激组骨盆分离试验阳性占比低于骨盆带组,差异有统计学意义(P<0.05);产后90 d,三组骨盆分离试验阳性占比比较,差异无统计学意义(P>0.05)。结论:骨盆带、红外线和低频电刺激在围产期耻骨联合分离的临床治疗中均具有一定的效果,但低频电刺激治疗对耻骨联合宽度、疼痛程度、体征改善效果更好。

Objective:To compare the effects of pelvic belt,infrared and low frequency electrical stimulation in perinatal symphysis pubis separation.Methods:A total of ninety parturiental patients diagnosed with symphysis pubis dissociation during perinatal period admitted to Shenzhen Luohu District People's Hospital from June 2021 to June 2023 were selected as the study objects,and randomly divided into pelvic band group,infrared ray group and electrical stimulation group,with thirty cases in each group.The pelvic band group was treated with pelvic band,the infrared ray group was treated with infrared irradiation,and the electrical stimulation group was treated with low-frequency electrical stimulation.The width of pubic symphysis,pain degree and physical signs of the three groups were compared.Results:On postpartum day 42 and 90,the symphysis pubis width in the three groups was lower than before treatment,and the electrical stimulation group was lower than the infrared ray group and the pelvic band group,and the infrared ray group was lower than the pelvic band group,the difference was statistically significant(P<0.05).At 42 and 90 days after delivery,the visual simulation scores of the three groups were lower than before treatment,and the infrared ray and electrical stimulation groups were lower than the pelvic band group,the difference was statistically significant(P<0.05).42 days after delivery,the positive proportion of pelvic separation test in electric stimulation group was lower than that in pelvic band group,and the difference was statistically significant(P<0.05);at 90 days postpartum,there was no significant difference in the proportion of positive pelvic separation test among the three groups(P>0.05).Conclusion:Pelvic band,infrared ray and low frequency electrical stimulation have certain effects in the clinical treatment of perinatal pubic symphysis separation,but the low frequency electrical stimulation has better effects on the width of pubic symphysis,pain degree and physical signs.