摘要
目的 :观察骶尾手法治疗尾骨痛的临床疗效。方法 :自2013年11月至2015年7月,共纳入184例骶尾痛患者,分为治疗组及对照组。治疗组男26例,女65例,平均年龄(39.63±11.62)岁;对照组男31例,女62例,平均年龄(41.47±11.56)岁。治疗组采用骶尾手法治疗,每周治疗3次,2周为1个疗程。对照组外用双氯芬酸二乙胺乳胶剂涂抹,每日2次,2周为1个疗程。在病例筛选入组的当天及之后第2、7、14天和治疗后3个月的5个时间点进行临床观察。通过比较两组的VAS疼痛分值、骶尾痛评分表分值和压痛程度等评价骶尾手法的疗效。结果:骶尾痛VAS分值的组内比较,两组均从第2天开始差异有统计学意义。随访各时点VAS差值的组间比较,治疗组大于对照组,从第2天开始两组差异有统计学意义。随访各时点骶尾痛评分表总分差值的组间比较,治疗组大于对照组,从第2天开始两组差异有统计学意义。随访各时点压痛程度的组间比较,从第2天开始两组差异有统计学意义。结论:骶尾手法能够明显改善骶尾部疼痛症状,治疗骶尾痛的疗效优于双氯芬酸二乙胺乳胶剂,且作用效果更明显。
Objective：To study the clinical efficacy of sacral manual therapy in the treatment of coccygodynia.Methods;From November 2013 to July 2015,184 patients with sacrococcygeal pain were divided into treatment group and control group.There were 26 males and 65 females in the treatment group,with an average age of（39.63±11.62） years old.In the control group,there were 31 males and 62 females,with an average age of（41.47±11.56） years old.The patients in the treatment group were treated with sacrococcygeal massage therapy,3 times a week for 2 weeks.The patients in the control group were treated with Diclofenac Diethylamine Emulgel,2 times a day for 2 weeks.The VAS pain score,score in rating scale of sacrococcygeal pain and degree of tenderness were obtained on the first day of treatment,2,7,14 days and 3 months after treatment to evaluate clinical results.Results：When comparing the VAS pain score of sacrococcygeal pain within the two groups,the differences began to reach statistical significance on the second day（P〈0.001）.The chagne of VAS pain scores,the change of scores in rating scale of sacrococcygeal pain and the degree of tenderness in the treatment group were all significontly larger that those in the contral group from the second day.Conclusion：The curative effect of sacral manipulation group is better than that of Diclofenac Diethylamine Emulgel group in the treatment of sacrococcygeal pain.
作者
王迪
罗杰
李家东
裴明明
张威
WANG Di LUO Jie LI Jia-dong PEI Ming-ming ZHANG Wei(The Second Department of Spinal, Wangjing Hospital of China Academy of Chinese Medical Sciences ,Beijing 100102, China)
出处
《中国骨伤》
CAS
2016年第9期831-835,共5页
China Journal of Orthopaedics and Traumatology
基金
首都市民健康项目培育(编号:Z131100004013045)~~
关键词
骶尾部
疼痛
手法
骨科
病例对照研究
Sacrococcygeal region
Pain
Manipulation
orthopedic
Case-control studies
