首页|电刺激生物反馈结合手法按摩治疗产后盆底肌筋膜疼痛综合征的临床效果

电刺激生物反馈结合手法按摩治疗产后盆底肌筋膜疼痛综合征的临床效果

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目的 分析在产后盆底肌筋膜疼痛综合征(MPPS)治疗中,运用电刺激生物反馈结合手法按摩方式的效果。方法 选择2022年4月—2023年4月产后42~365d到本院就诊的84例盆底肌筋膜疼痛综合征患者作为研究对象,通过随机抽签分类的方式,将其分为对照组(电刺激生物反馈治疗法)和观察组(电刺激生物反馈结合手法按摩),对两组患者治疗前后的疼痛情况(VAS)、治疗一个月后盆底肌的肌电信号进行比较。结果 两组患者的疼痛评估评分在治疗开始前并没有显著的不同(P>0。05)。经过1个月的治疗,观察组患者的疼痛评价明显低于对照组(P<0。05)。经过1个月的治疗,观察组患者慢肌(I类纤维)阶段的肌电波幅明显高于对照组(P<0。05),观察组前息静电位以及后息静电位的肌电波幅和对照组相比明显降低(P<0。05)。观察组患者快肌(Ⅱ类纤维)阶段的最大波幅和上升时间明显高于对照组(P<0。05)。结论 合适地采取电刺激和生物反馈以及手法按摩的联合治疗,可以有效地改善盆底肌筋膜疼痛综合征患者的盆底肌腱信号,值得临床进一步应用和推广。
Clinical Effect of Electric Stimulation Biofeedback Combined with Manual Massage in Treatment of Postpartum Myofascial Pelvic Pain Syndrome
Objective To analyze effect of electrical stimulation biofeedback combined with manual massage in treatment of postpartum myofascial pelvic pain syndrome(MPPS).Methods The paper chose 84 patients Pelvic floor myofascial pain syndrome in our hospital 42-365 days after delivery from April 2022 to April 2023 as research subjects,and divided them into control group(treated with electric stimulation biofeedback therapy)and observation group(with electric stimulation biofeedback combined with manual massage)randomly by drawing lots.Pain levels(VAS)were evaluated,electromyographic signals of pelvic muscles after one month of treatment were compared between two groups before and after treatment.Results There was no significant difference in pain assessment between two groups before treatment(P>0.05).However,after one month of treatment,pain evaluation in observation group was significantly lower than control group(P<0.05).After one month of treatment,electromyographic amplitude of slow muscle(type I fibers)stage in observation group was significantly higher than control group(P<0.05),and electromyographic amplitude of pre resting and post resting electrostatic positions in observation group was significantly lower than control group(P<0.05).Maximum amplitude and rise time of fast muscle(type Ⅱ fibers)stage in observation group was significantly higher than control group(P<0.05).Conclusion Appropriate combination of electrical stimulation,biofeedback,and manual massage can improve pelvic muscle tendon signals of patients with myofascial pelvic pain syndrome effectively,which is worthy of further clinical application and promotion.

Electrical stimulation biofeedbackManual massagePostpartum myofascial pelvic pain syndrome

张洁燕、曾月霞、韦思似

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广东省东莞市妇幼保健院 妇女保健中心,广东 东莞 525300

电刺激生物反馈 手法按摩 产后盆底肌筋膜疼痛综合征

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(6)
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