首页|中药熏蒸联合手法整复对产后骶髂关节半脱位患者的疗效

中药熏蒸联合手法整复对产后骶髂关节半脱位患者的疗效

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目的 分析中药熏蒸联合手法整复对产后骶髂关节半脱位患者的疗效.方法 选取华中科技大学同济医学院附属武汉中心医院 2019 年 1 月~2020 年 6 月收治的分娩产妇 88 例,依随机数表法分为对照组(n=44,手法整复)与观察组(n=44,在对照组基础上加用中药熏蒸).比较两组患者临床总有效率、疼痛评分(NPRS评分)、骶髂关节功能评分(M-JOA评分)及血清肌酸激酶水平.结果 观察组总有效率 93.18%(41/44),较对照组 77.27%(34/44)高,差异有统计学意义(χ2=4.423,P=0.035).治疗前,两组患者NPRS、M-JOA评分差异无统计学意义(P>0.05).治疗后,两组患者NPRS、M-JOA评分均显著降低,且与对照组比较,观察组更低[(3.61±1.06)分vs.(5.34±1.33)分、(4.77±1.41)分vs.(6.43±2.12)分],差异有统计学意义(t=6.747、4.325,P<0.05).治疗前,两组患者血清肌酸激酶水平差异无统计学意义(P>0.05).治疗后,两组患者血清肌酸激酶水平均降低,观察组患者的血清肌酸激酶水平低于对照组[(93.44±28.52)U/L vs.(120.82±35.16)U/L],差异有统计学意义(t=4.012,P<0.05).结论 中药熏蒸联合手法整复治疗产后骶髂关节半脱位患者,临床疗效较好,可有效减轻患者疼痛,改善患者骶髂关节功能.
Efficacy of traditional Chinese medicine fumigation combined with manual restoration for patients with postpartum sacroiliac joint subluxation
Objective To analyze the therapeutic efficacy of traditional Chinese medicine(TCM)fumigation combined with manual restoration in patients with postpartum sacroiliac joint subluxation.Methods From January 2019 to June 2020,a total of 88 postoartum wome admitted to our hospital were selected and randomly assigned into two groups:the control group(n=44)receiving conventional treatment plus manual restoration,and the treatment group(n=44)receiving traditional Chinese medicine fumigation in attrition to the control group's treatment.The total clinical response rate,pain score(measured by Numeric Pain Rating Scale,NPRS),sacroiliac joint function score(measured by Modified Japanese Orthopedic Association score,M-JOA)and serum creatine kinase level were compared between the two groups.Results The total effective rate in the treatment group was 93.18%(41/44),which was higher than that in the control group,which was 77.27%(34/44)(χ2=4.423,P=0.035).Before treatment,there was no significant difference in NPRS and M-JOA scores between the two groups(P>0.05).After treatment,the scores of NPRS and M-JOA in both groups were significantly lower than those in the control group,the difference was statistically significant(t=6.747,4.325,P<0.05).Before treatment,there was no significant difference in serum creatine kinase level between the two groups(P>0.05).After treatment,the level of serum creatine kinase in both groups decreased,and the level of serum creatine kinase in observation group was lower than that in control group,the difference was significant(t=4.012,P<0.05).Conclusion The combination of traditional Chinese medicine fumigation combined and manual reconstruction for postpartum sacroiliac joint subluxation demonstrates favorable clinical outcomes,effectively reducing pain and improving the sacroiliac joint function.

Postpartum sacroiliac joint subluxationTraditional Chinese medicine fumigationManual restorationClinical efficacy

刘炼、游菲、何诚、段晨、赵顺玉

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430014 武汉,华中科技大学同济医学院附属武汉中心医院康复医学科

产后骶髂关节半脱位 中药熏蒸 手法整复 临床疗效

湖北省中医药局中医药科研项目武汉市医学科研项目

ZY2023M031WZ20A11

2024

中华保健医学杂志
中国人民解放军总后勤部卫生部保健局

中华保健医学杂志

CSTPCD
影响因子:0.477
ISSN:1674-3245
年,卷(期):2024.26(3)