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| 基于"筋出槽,骨错缝"理论的改良蛙式四步扳法治疗产后骶髂关节错缝的临床观察 |
| Clinical observation on the treatment of postpartum sacroiliac joint dislocation with modified frog four-step manipulation based on the theory of "sinew grooves, bone fractures" |
| 投稿时间：2023-12-05 修订日期：2024-04-29 |
| DOI： |
| 中文关键词: 改良蛙式四步扳法 产后骶髂关节错缝 疼痛程度 关节功能 |
| 英文关键词:modified frog four-step manipulation Postpartum sacroiliac joint dislocation Degree of pain Joint function |
| 基金项目:温州市科技局项目：Y20220229 |
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| 中文摘要: |
| 目的 研究基于"筋出槽,骨错缝"理论的改良蛙式四步扳法治疗产后骶髂关节错缝的临床疗效。方法 选择2020年6月至2022年3月在我院接受治疗的60例产后骶髂关节错缝患者，按照随机对照原则进行分组，对照组30例给予常规推拿治疗，研究组30例给予基于"筋出槽,骨错缝"理论的改良蛙式四步扳法治疗。比较两组临床疗效、疼痛程度（VAS评分）、腰肌功能（ODI、JOA）、生活质量（WHOQOL-BREF各项评分）。结果 总有效率相比（73.33% VS 96.67%），研究组更高（P＜0.05）。两组治疗4周后VAS评分均显著降低，且研究组更低（P＜0.05）。两组治疗4周后ODI评分均显著降低，且研究组更低，而JOA评分均显著升高，且研究组更高（P＜0.05）。两组治疗4周后WHOQOL-BREF各项评分均显著升高，且研究组更高（P＜0.05）。结论 基于"筋出槽,骨错缝"理论的改良蛙式四步扳法治疗产后骶髂关节错缝疗效确切，可有效减轻痛苦，改善腰肌功能，促进生活质量提升。 |
| 英文摘要: |
| Objective To study the clinical effect of modified frog four-step manipulation on postpartum sacroiliac joint dislocation based on the theory of "sinew out of groove, bone dislocation". Methods 60 postpartum patients with sacroiliac joint missuture treated in our hospital from June 2020 to March 2022 were selected and divided into groups according to the principle of randomized control. 30 cases in the control group were given conventional massage treatment, and 30 cases in the study group were given modified frog four-step manipulation based on the theory of "sinew out, bone missuture". The clinical efficacy, pain degree (VAS score), psoas muscle function (ODI, JOA) and quality of life (WHOQOL-BREF scores) were compared between the two groups. Results The total effective rate was higher in the study group (73.33% VS 96.67%) (P < 0.05). After 4 weeks of treatment, the VAS score of both groups was significantly decreased, and the study group was lower (P < 0.05). After 4 weeks of treatment, ODI scores in both groups were significantly decreased, and the study group was lower, while JOA scores were significantly increased, and the study group was higher (P < 0.05). After 4 weeks of treatment, WHOQOL-BREF scores were significantly increased in both groups, and higher in the study group (P < 0.05). Conclusion Based on the theory of "sinew out, bone misjoint", the modified frog four-step manipulation is effective in the treatment of postpartum sacroiliac joint misjoint, which can effectively relieve pain, improve psoas muscle function and promote the improvement of life quality. |
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