膏摩配合筋膜松解术治疗产后腰痛临床疗效探讨

中华养生保健 ›› 2025, Vol. 43 ›› Issue (9): 37-40.

膏摩配合筋膜松解术治疗产后腰痛临床疗效探讨

李美莲, 张千龙, 赵瑞, 李静^*

潍坊市中医院骨伤康复科,山东潍坊,261000

出版日期:2025-05-01 发布日期:2025-06-10
通讯作者: ^*李静,E-mail：lijing249@163.com。
作者简介:李美莲（1985—）,女,汉族,籍贯：山东省寿光市,本科,主管技师,研究方向：康复医学与康复理疗学。

Exploration of the Clinical Efficacy of Ointment Massage Combined with Fascial Release Surgery in the Treatment of Postpartum Back Pain

LI Mei-lian, ZHANG Qian-long, ZHAO Rui LI Jing^*

Department of Orthopedics and Rehabilitation, Weifang Traditional Chinese Medicine Hospital, Weifang Shandong, 261000, China

Online:2025-05-01 Published:2025-06-10

摘要/Abstract

摘要： 目的观察膏摩配合筋膜松解术治疗产后腰痛临床疗效。方法 2021年9月—2023年6月潍坊市中医院收治的60例产后腰痛患者作为研究对象,随机分为常规治疗组和膏摩+筋膜组,各30例。常规治疗组患者主要进行常规治疗。包括常规应用电刺激、生物反馈、Kegel训练方式。膏摩+筋膜组在常规治疗组基础上,加用膏摩治疗和筋膜松解术治疗。两组均治疗4周。在治疗前以及治疗1、3、6个月进行随访疼痛程度,采用疼痛视觉模拟评分（VAS）对患者腰痛程度进行评定。同时在治疗前后进行盆底肌肌力评定和器官脱垂分期（POP–Q）评定。结果疼痛方面,治疗前两组VAS比较,差异无统计学意义（P>0.05）;治疗1、3、6个月后,两组VAS评分均低于治疗前,差异有统计学意义（P<0.05）;治疗1、3、6个月后,膏摩+筋膜组均优于常规治疗组（P<0.05）。盆底肌肌力方面,治疗前两组盆底肌肌力比较,差异无统计学意义（P>0.05）;治疗4周后,两组盆底肌肌力均高于治疗前,膏摩+筋膜组高于常规治疗组（P<0.05）。治疗前两组POP–Q分期比较,差异无统计学意义（P>0.05）;治疗4周后,两组POP–Q分期均优于治疗前,膏摩+筋膜组优于常规治疗组（P<0.05）。结论膏摩配合筋膜松解术可以改善产后腰痛患者的疼痛评分,减少内脏脱垂程度,提高盆底肌肌力。

关键词: 膏摩, 筋膜松解术, 产后腰痛

Abstract: Objective To observe the clinical efficacy of ointment combined with fascial release surgery in the treatment of postpartum low back pain. Methods From September 2021 to June 2023, 60 patients with postpartum low back pain admitted to our hospital were selected as the study subjects and randomly divided into a conventional treatment group and a plaster and fascia group, with 30 cases in each group. Patients in the conventional treatment group mainly receive conventional treatment. Including conventional application of electrical stimulation, biofeedback, and Kegel training methods. The ointment massage+fascia group received additional ointment massage treatment and fascia release surgery on the basis of the conventional treatment group. Both groups were treated for 4 weeks. Follow up on pain levels was conducted before treatment and at 1, 3, and 6 months of treatment, and the degree of lower back pain was evaluated using the Visual Analog Scale (VAS). Simultaneously evaluate pelvic floor muscle strength and organ prolapse staging (POP-Q) before and after treatment. Results In terms of pain, the comparison of VAS between the 2 groups before treatment, the difference was not statistically significant (P>0.05); after 1, 3, and 6 months of treatment, the VAS scores of both groups were lower than those before treatment, and the difference was statistically significant (P<0.05); after 1, 3, and 6 months of treatment, the cream mojo+fascia group was better than that of the conventional treatment group (P<0.05). In terms of pelvic floor muscle strength, the difference between the two groups before treatment was not statistically significant (P>0.05); after 4 weeks of treatment, the pelvic floor muscle strength of both groups was higher than that before treatment, and that of the Paste Mo + Fascia group was higher than that of the conventional treatment group (P<0.05). Comparison of POP-Q staging between the two groups before treatment, the difference was not statistically significant (P>0.05); after 4 weeks of treatment, the POP-Q staging of the two groups was better than before treatment, and the cream massage + fascia group was better than the conventional treatment group (P<0.05). Conclusion The combination of ointment and fascia release surgery can improve the pain score of postpartum low back pain patients, reduce the degree of visceral prolapse, and improve pelvic floor muscle strength, which is worthy of further research.

Key words: Gao Mo, fascial release surgery, postpartum back pain

中图分类号:

R714.4

李美莲, 张千龙, 赵瑞, 李静. 膏摩配合筋膜松解术治疗产后腰痛临床疗效探讨[J]. 中华养生保健, 2025, 43(9): 37-40.

LI Mei-lian, ZHANG Qian-long, ZHAO Rui LI Jing. Exploration of the Clinical Efficacy of Ointment Massage Combined with Fascial Release Surgery in the Treatment of Postpartum Back Pain[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(9): 37-40.

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