宁夏医学杂志2024,Vol.46Issue(12) :1059-1062.DOI:10.13621/j.1001-5949.2024.12.1059

体外冲击波联合运动疗法对骨盆肌筋膜疼痛综合征VAS及FSFI的影响

Effects of extracorporeal shock wave combined with exercise therapy on VAS and FSFI in pelvic myofascial pain syndrome

胡海平 高瑜 任巧君 高慧强 罗娟娟 王珮茹
宁夏医学杂志2024,Vol.46Issue(12) :1059-1062.DOI:10.13621/j.1001-5949.2024.12.1059

体外冲击波联合运动疗法对骨盆肌筋膜疼痛综合征VAS及FSFI的影响

Effects of extracorporeal shock wave combined with exercise therapy on VAS and FSFI in pelvic myofascial pain syndrome

胡海平 1高瑜 1任巧君 1高慧强 1罗娟娟 1王珮茹1
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作者信息

  • 1. 宁夏回族自治区中西医结合医院,宁夏银川 750011
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摘要

目的 分析体外冲击波联合运动疗法对骨盆肌筋膜疼痛综合征疼痛视觉模拟评分法(VAS)及女性性功能量表(FSFI)的影响.方法 选择骨盆肌筋膜疼痛综合征患者共60例,利用随机数字表法分为对照组(常规治疗,n=30)与研究组(体外冲击波+运动疗法,n=30).对比2组患者的疼痛程度、性功能、炎症因子、疼痛介质及生长因子.结果 在VAS评分与FSFI评分上,研究组优于对照组(P<0.05);在肿瘤坏死因子-α(TNF-α)与白细胞介素-18(IL-18)水平上,研究组均低于对照组(P<0.05);在5-羟色胺(5-HT)与前列腺素E2(PGE2)水平上,研究组低于对照组(P<0.05);在血清转化生长因子(TGF-β1)与胰岛素样生长因子(IGF-1)水平上,研究组高于对照组(P<0.05).结论 体外冲击波+运动疗法有利于减轻骨盆肌筋膜疼痛综合征患者的疼痛程度,改善性功能,减轻炎症反应.

Abstract

Objective To analyze the effects of extracorporeal shock wave combined with exercise therapy on visual analogue scale(VAS)and female sexual function scale(FSFI)in pelvic myofascial pain syndrome.Methods 60 patients with pelvic myofascial pain syndrome were enrolled and divided into control group(conventional treatment,n=30)and study group(extracorporeal shock wave+exercise therapy,n=30)by random number table method.The pain degree,sexual function,inflammatory factors,pain mediators and growth factors were compared between the two groups.Results The study group was superior to the control group in VAS and FSFI scores(P<0.05).The levels of tumor necrosis factor-α(TNF-α)and interleukin-18(IL-18)in the study group were lower than those in the control group(P<0.05).The levels of 5-hydroxy tryptamine(5-HT)and prostaglandin E2(PGE2)in the study group were lower than those in the control group(P<0.05).Serum transforming growth factor(TGF-β1)and insulin-like growth factor(IGF-1)levels in the study group were higher than those in the control group(P<0.05).Conclusion Extracorporeal shock wave combined with exercise therapy can improve the pain degree and sexual function of the patients with pelvic myofascial pain syn-drome,and reduce the inflammatory response.

关键词

骨盆肌筋膜疼痛综合征/体外冲击波/运动疗法/性功能

Key words

Pelvic myofascial pain syndrome/Extracorporeal shock wave/Exercise therapy/Sexual function

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出版年

2024
宁夏医学杂志
中华医学会宁夏分会

宁夏医学杂志

影响因子:0.706
ISSN:1001-5949
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