Effects of acupuncture and stabilising exercises as adjunct to standard treatment in pregnant women with pelvic girdle pain: randomised single blind controlled trial
Effects of acupuncture and stabilising exercises as adjunct to standard treatment in pregnant women with pelvic girdle pain: randomised single blind controlled trial
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DOI：
10.1136/bmj.38397.507014.e0
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发表时间：
2005-04-02
影响因子：
105.7
通讯作者：
Hagberg, H
中科院分区：
文献类型：
--
作者：
Elden, H;Ladfors, L;Hagberg, H
目的比较标准治疗、标准治疗加针灸、标准治疗加稳定锻炼对妊娠期骨盆带疼痛的疗效。设计随机单盲对照试验。地点：瑞典哥德堡的东医院和27个产科护理中心。参与者：386名患有骨盆带疼痛的孕妇。干预治疗6周，标准治疗（n = 130），标准治疗加针灸（n = 125）或标准治疗加稳定运动（n = 11）。主要结果指标主要结果指标是疼痛（视觉模拟量表）;第二个结果是由一个独立的检查者在治疗前后评估骨盆带疼痛的严重程度。结果治疗后稳定运动组的疼痛程度低于标准组早晨（中位数差异= 9，95%置信区间1.7至12.8; P = 0.0312）和晚上（13，2.7至17.5; P = 0.0245）。针刺组晚上的疼痛比稳定运动组少（-14，-18.1至-3.3; P = 0.0130）。针刺组早晨疼痛（12，5.9 ~ 17.3; P < 0.001）和晚上疼痛（27，13.3 ~ 29.5; P < 0.001）明显少于标准治疗组。由独立的考官评估骨盆带疼痛的衰减是最大的针灸group.Conclusion针灸和稳定的练习是有效的补充，标准治疗的管理骨盆带疼痛在怀孕期间。在本研究中，针刺上级优于稳定运动。
Objectives To compare the efficacy of standard treatment, standard treatment plus acupuncture, and standard treatment plus stabihsing exercises for pelvic girdle pain during pregnancy.Design Randomised single blind controlled trial.Settings East Hospital and 27 maternity care centres in Gothenburg, Sweden.Participants 386 pregnant women with pelvic girdle pain.Interventions Treatment for six weeks with standard treatment (n = 130), standard treatment plus acupuncture (n = 125), or standard treatment plus stabilising exercises (n = 11).Main outcome measures Primary outcome measure was pain (visual analogue scale); secondary outcome measure was assessment of severity of pelvic girdle pain by an independent examiner before and after treatment.Results After treatment the stabilising exercise group had less pain than the standard group in the morning (median difference = 9, 95% confidence interval 1.7 to 12.8; P = 0.0312) and in the evening (13, 2.7 to 17.5; P = 0.0245). The acupuncture group bad less pain in the evening than the stabilising exercise group (- 14, - 18.1 to - 3.3; P = 0.0130). The acupuncture group had less pain than the standard treatment group in the morning (12, 5.9 to 17.3; P < 0.001) and in the evening (27,13.3 to 29.5; P < 0.001). Attenuation of pelvic girdle pain as assessed by the independent examiner was greatest in the acupuncture group.Conclusion Acupuncture and stabilising exercises are efficient complements to standard treatment for the management of pelvic girdle pain during pregnancy. Acupuncture was superior to stabilising exercises in this study.