Hubei University of Chinese Medicine, Wuhan, China.
Department of Orthopedics, Wuhan Hospital of Traditional Chinese Medicine, Wuhan, China.
PM R. 2020 Dec;12(12):1222-1226. doi: 10.1002/pmrj.12341. Epub 2020 Mar 6.
Pain severity of postpartum pelvic girdle pain (PGP) does not seem closely related to the symphysis gap.
To determine the relationship between the pubic symphysis gap and postpartum PGP in women treated with the squeeze-and-clap maneuver.
Retrospective study.
Hospital Clinic PATIENTS: 32 patients with postpartum PGP.
The patients were grouped by the pubic symphysis gap as: group A (6-11 mm), group B (12-20 mm), and group C (21-30 mm).
GP severity was measured by visual analogue scale (VAS). The symphysis gap was measured on radiographs. All patients were treated with the squeeze-and-clap maneuver. The VAS scores and the symphysis gaps at the first clinic visit and the second clinic visit 4-8 weeks later were analyzed.
There was no significant difference in VAS scores between the three groups at the first clinic visit and the second clinic visit. VAS scores of the three groups were all significantly decreased at the second clinic visit compared with the first clinic visit (all P < .001). The symphysis gap was significantly decreased in group C at the second clinic visit (P = 0.004), but not in group A and group B.
Pubic symphysis separation was not associated with pain severity of postpartum PGP.
产后骨盆带疼痛（PGP）的严重程度似乎与耻骨联合间隙没有密切关系。
确定挤压拍手手法治疗后耻骨联合间隙与产后 PGP 之间的关系。
回顾性研究。
医院诊所。
32 例产后 PGP 患者。
根据耻骨联合间隙将患者分为三组：A 组（6-11mm）、B 组（12-20mm）和 C 组（21-30mm）。
用视觉模拟评分法（VAS）测量 GP 严重程度。在 X 光片上测量耻骨联合间隙。所有患者均采用挤压拍手手法治疗。分析首次就诊和 4-8 周后第二次就诊时的 VAS 评分和耻骨联合间隙。
三组患者在首次就诊和第二次就诊时的 VAS 评分均无显著差异。与首次就诊相比，三组患者在第二次就诊时的 VAS 评分均显著降低（均 P <.001）。与首次就诊相比，C 组患者在第二次就诊时的耻骨联合间隙明显减小（P = 0.004），而 A 组和 B 组患者的耻骨联合间隙则无明显变化。
耻骨联合分离与产后 PGP 的疼痛严重程度无关。
