首页|盆底肌筋膜手法联合磁电治疗女性慢性盆腔疼痛综合征的疗效观察

盆底肌筋膜手法联合磁电治疗女性慢性盆腔疼痛综合征的疗效观察

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目的 探讨盆底肌筋膜手法联合磁电治疗对女性慢性盆腔疼痛综合征患者疼痛、基本生活活动能力及盆底电生理的影响.方法 选取2021年1月至2022年2月遂宁市中心医院盆底康复中心收治的60例女性慢性盆腔疼痛综合征患者作为研究对象.按照随机数字表法分为对照组和试验组,各30例.对照组采用磁电治疗,试验组在磁电治疗的基础上采用盆底肌筋膜手法治疗.收集两组治疗前及治疗后即刻的视觉模拟评分法(VAS)评分、疼痛障碍指数(PDI)及盆底电生理指标,随访两组治疗后3个月及6个月的VAS评分及PDI.结果 试验组在治疗后即刻、治疗后3个月及6个月的VAS评分和PDI均低于对照组,差异具有统计学意义(P<0.05);治疗后即刻,试验组的前静息及后静息平均肌电值(EMG)均低于对照组,试验组的快肌最大肌电值、慢肌平均肌电值及耐力平均肌电值均高于对照组,差异具有统计学意义(P<0.05).结论 盆底肌筋膜手法联合磁电治疗女性慢性盆腔疼痛综合征患者有利于改善盆底电生理功能、减轻疼痛程度及提高基本生活活动能力.
The efficacy observation of pelvic floor myofascial manipulation combined with magneto-electric in the treatment of chronic pelvic pain syndrome in women
Objective To investigate the effects of pelvic floor myofascial manipulation combined with magneto-electric therapy on pain,basic life activities and pelvic floor electrophysiology in female patients with chronic pelvic pain syndrome.Methods A total of 60 female patients with chronic pelvic pain syndrome admitted to the Pelvic Floor Rehabilitation Center of Suining Central Hospital from January 2021 to February 2022 were selected as the research objects.They were divided into a control group and an experimental group by random number table,with 30 cases in each group.The control group was treated with magneto-electric,and the experimental group was treated with pelvic floor myofascial manipulation based on magneto-electric treatment.The visual analogue scale(VAS)scores,pain disorder index(PDI)and pelvic floor electrophysiological indexes were collected before and immediately after treatment in both groups,and the VAS scores and PDI of two groups were followed up 3 and 6 months after treatment.Results The VAS scores and PDI of the experimental group were lower than those of the control group immediately,3 months and 6 months after treatment,and the differences were statistically significant(P<0.05).Immediately after treatment,the average pre-resting and post-resting mean electromyography(EMG)values of the experimental group were lower than those of the control group,and the maximal EMG values of fast muscle,mean EMG values of slow muscle,and endurance mean EMG values of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Pelvic floor myofascial manipulation combined with magneto-electric in the treatment of female patients with chronic pelvic pain syndrome is beneficial to improve the electrophysiological function of the pelvic floor,reduce the degree of pain and improve the basic life activities.

Pelvic floor myofascial manipulationChronic pelvic pain syndromePelvic floor electrophysiologyPain

蒋颜、胡可慧、杨津、李阳、黎培培

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遂宁市中心医院康复院区康复科,四川遂宁 629000

遂宁市中心医院妇科,四川遂宁 629000

盆底肌筋膜手法 慢性盆腔疼痛综合征 盆底电生理 疼痛

遂宁市中心医院科研课题项目

2021y34

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(4)
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