首页|骶神经磁刺激联合盆底肌筋膜手法治疗对慢性盆腔痛患者的效果及对Glazer评估指标的影响

骶神经磁刺激联合盆底肌筋膜手法治疗对慢性盆腔痛患者的效果及对Glazer评估指标的影响

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目的 探讨骶神经磁刺激联合盆底肌筋膜手法治疗慢性盆腔痛(CPP)的效果及对Glazer评估指标的影响.方法 选择徐州市康复医院 2022 年1 月—2023 年12月收治的 90 例CPP患者为研究对象,按照随机数字表法将其分为对照组和观察组,每组 45 例.对照组采用盆底肌筋膜手法治疗,观察组在对照组基础上采用骶神经磁刺激治疗,两组均持续治疗 4周.对比两组患者的临床疗效、Glazer评估指标及疼痛程度.结果 观察组的治疗总有效率为 93.33%,高于对照组的 75.56%,差异有统计学意义(P<0.05).治疗后,观察组前静息平均肌电值、后静息平均肌电值分别为(4.91±0.82)uV、(4.11±0.47)uV,均低于对照组,快肌最大肌电值、慢肌平均肌电值分别为(36.82±6.52)uV、(33.39±5.92)uV,均高于对照组,快速收缩放松时间为(3.11±0.31)s,短于对照组,组间差异有统计学意义(P<0.05);观察组的疼痛视觉模拟评分为(1.41±0.45)分,低于对照组的(3.03±0.82)分,差异有统计学意义(P<0.05).结论 骶神经磁刺激联合盆底肌筋膜手法治疗CPP的效果显著,能有效减轻患者疼痛,改善Glazer评估指标.
Effect of Sacral Nerve Magnetic Stimulation Combined with Pelvic Floor Myofascial Manipulation on Patients with Chronic Pelvic Pain and its Influence on Glazer Evaluation Index
Objective To explore the effect of sacral nerve magnetic stimulation combined with pelvic floor myofascial manipulation in the treatment of chronic pelvic pain(CPP)and its influence on Glazer evaluation indexes.Methods Ninety CPP patients admitted to Xuzhou Rehabilitation Hospital from January 2022 to December 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 45 cases in each group.The control group was treated with pelvic floor myofascial manipulation,and the observation group was treated with sacral nerve magnetic stimulation on the basis of the cortrol group,both groups were treated for 4 weeks.The clinical efficacy,Glazer evaluation index and pain degree of the two groups were compared.Results The total effective rate of the observation group was 93.33%,which was higher than 75.56%of the control group,the difference was statistically significant(P<0.05).After treatment,the average electromyography value before resting,the average electromyog-raphy value after resting in the observation group were(4.91±0.82)uV,(4.11±0.47)uV,respectively,which were lower than those in the control group,while the maximum electromyog-raphy value of fast muscle and average electromyog-raphy value of slow muscle were(36.82±6.52)uV and(33.39±5.92)uV,respectively,which were higher than those in the control group,the relaxation time of rapid contraction was(3.11±0.31)s,which was shorter than that of control group,and the differences between the groups were statistically significant(P<0.05);the pain Visual Analogue Scale score of the observation group was(1.41±0.45)points,which was lower than(3.03±0.82)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Sacral nerve magnetic stimulation combined with pelvic floor myofascial manipulation is effective in the treatment of CPP,which can effectively reduce the pain of patients and improve the Glazer evaluation index.

Chronic pelvic painSacral nerve magnetic stimulationPelvic floor myofascial manipulationCurative effectGlazer evaluation index

李雪芹、袁梦

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徐州市康复医院妇科(产后康复科),江苏徐州 221000

慢性盆腔痛 骶神经磁刺激 盆底肌筋膜手法 疗效 Glazer评估指标

徐州市重点研发计划(社会发展)项目

KC22215

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(11)