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[骶尾关节手法治疗尾骨痛临床疗效的病例对照研究]

[Case control study on clinical effects of sacrococcygeal manipulation in the treatment of coccyx pain].

作者信息

Wang Di, Luo Jie, Li Jia-Dong, Pei Ming-Ming, Zhang Wei

机构信息

The Second Department of Spinal, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China;

出版信息

Zhongguo Gu Shang. 2016 Sep 25;29(9):831-835. doi: 10.3969/j.issn.1003-0034.2016.09.012.

Abstract

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(<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.

CONCLUSIONS

The curative effect of sacral manipulation group is better than that of Diclofenac Diethylamine Emulgel group in the treatment of sacrococcygeal pain.

摘要

目的

研究骶骨手法治疗尾骨痛的临床疗效。

方法

2013年11月至2015年7月,将184例骶尾部疼痛患者分为治疗组和对照组。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。治疗组患者采用骶尾部按摩疗法,每周3次,共2周。对照组患者采用双氯芬酸二乙胺乳胶剂治疗,每日2次,共2周。在治疗第1天、治疗后2天、7天、14天及3个月时获取视觉模拟评分法(VAS)疼痛评分、骶尾部疼痛评定量表评分及压痛程度,以评估临床疗效。

结果

两组骶尾部疼痛的VAS疼痛评分比较,差异在第2天开始具有统计学意义(<0.001)。从第2天起,治疗组VAS疼痛评分的变化、骶尾部疼痛评定量表评分的变化及压痛程度均明显大于对照组。

结论

在治疗骶尾部疼痛方面,骶骨推拿组的疗效优于双氯芬酸二乙胺乳胶剂组。

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