Effect of magnetic stimulation at pelvic floor and sacral nerve combined with myofascial manipulation on myofascial chronic pelvic pain in female and its influence on pain map,inflammatory factors and pelvic function
Objective To explore the curative effect of magnetic stimulation at pelvic floor and sacral nerve combined with myofascial manipulation in treating myofascial chronic pelvic pain in female and its influence on pain map,inflammatory fac-tors.Methods Three hundred patients with myofascial chronic pelvic pain were randomized in 1∶1 to the control group(electri-cal stimulation combined with manual massage)or the treatment group(magnetic stimulation at pelvic floor and sacral nerve combined with myofascial manipulation).A 7-day treatment was performed,The visual analog scale(VAS)score,and D-dimer(DD),plasma viscosity(PV),platelet aggregation rate,tumor necrosis factor alpha(TNF-α),interleukin-6(IL-6),inter-leukin-2(IL-2)levels were included as comparators between groups before and after treatment.Urogenital pain,pelvic floor muscle pain and bladder pain were evaluated by pain map.The pelvic dysfunction of the patients was recorded.Results The to-tal effective rate in the treatment group was better than that of the control group(90.67%[136/150]vs 70.00%[105/150],P<0.05).After treatment,the VAS score in the two groups was significantly lower than that before treatment(P<0.05),which was more pronounced in the treatment group than in the control group(P<0.05).After treatment,the levels of DD,PV and the rate of platelet aggregation in the two groups were significantly lower than those before treatment(P<0.05),and the de-crease was obvious in the treatment group relative to the control group(P<0.05).After treatment,the scores of urogenital pain,pelvic floor muscle pain,and bladder pain in the two groups were significantly lower than those before treatment(P<0.05),and this reduction was more common in the treatment group(P<0.05).After treatment,the levels of TNF-α and IL-6 in the two groups were significantly decreased when compared with those before treatment(P<0.05),but the levels of IL-2 in the two groups were significantly increased(P<0.05),and the treatment group was superior to the control group for lev-els of TNF-α,IL-6 and IL-2(all P<0.05).Conclusion The combined treatment of magnetic stimulation at pelvic floor and sacral nerve combined with myofascial manipulation on myofascial chronic pelvic pain in female can significantly reduced pain degree and score level in pain map,improve blood hemorheology level,reduce the body's inflammation factors,improve pelvic function,and it has remarkable clinical effect.
Chronic pelvic painFemaleNerve magnetic stimulationMyofascial manipulation
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