摘要
目的评价经皮胫神经电刺激治疗慢性盆腔疼痛综合征的疗效.方法回顾性分析2018年1-11月大连市第三人民医院收治的28例慢性盆腔疼痛综合征患者的临床资料,均采用经皮胫神经电刺激治疗.比较治疗前和治疗后24 h排尿次数、夜尿次数、每次尿量、生命质量(QOL)评分和数字疼痛强度评分的改善情况;患者随访3个月,观察复发和不良反应.结果与治疗前比较,治疗后24 h排尿次数和夜尿次数明显减少[(11.6±6.4)次比(20.6±7.8)次和(2.5±1.2)次比(5.2±2.6)次],每次尿量明显增多[(181.2±65.6)ml比(125.4±58.2)ml],QOL评分和数字疼痛强度评分明显降低[(2.6±1.4)分比(5.1±0.8)分和(2.9±1.3)分比(6.9±1.4)分],差异有统计学意义(P<0.05).随访期间,无一例患者症状反复,未出现明显不良反应.结论经皮胫神经电刺激是慢性盆腔疼痛综合征的较好治疗方法.
Objective To evaluate the clinical efficacy of percutaneous tibial nerve electrical stimulation in the treatment of chronic pelvic pain syndrome.Methods The clinical data of 28 patients with chronic pelvic pain syndrome from January to November 2018 in Dalian Third People′s Hospital were retrospectively analyzed.The patients were treated with percutaneous tibial nerve stimulation.The number of urination in 24 h,number of nocturnal urination,urine volume per urination,quality of life(QOL)score and digital pain intensity score before treatment and after treatment were compared;the patients were followed up for 3 months,and the recurrence and adverse reaction were observed.Results Compared with those before treatment,the number of urination in 24 h and number of nocturnal urination after treatment were significantly lower:(11.6±6.4)times vs.(20.6±7.8)times and(2.5±1.2)times vs.(5.2±2.6)times,and the urine volume per urination increased significantly:(181.2±65.6)ml vs.(125.4±58.2)ml,the QOL score and digital pain intensity score decreased significantly:(2.6±1.4)scores vs.(5.1±0.8)scores and(2.9±1.3)scores vs.(6.9±1.4)scores,and there were statistical differences(P<0.05).During the follow-up period,none of the patients had recurrent symptoms and obvious adverse reaction.Conclusions Percutaneous tibial nerve stimulation is an effective way to treat chronic pelvic pain syndrome.
作者
于宏川
刘晓阳
仲伟一
张悦
于学炜
韩洪海
杨阳
Yu Hongchuan;Liu Xiaoyang;Zhong Weiyi;Zhang Yue;Yu Xuewei;Han Honghai;Yang Yang(Department of Urology Surgery,Dalian Third People′s Hospital,Dalian 116033,China)
出处
《中国医师进修杂志》
2019年第11期1020-1022,共3页
Chinese Journal of Postgraduates of Medicine
基金
大连市科技创新基金(2018J13SN120)。
关键词
电刺激疗法
胫神经
回顾性研究
慢性盆腔疼痛综合征
Electric stimulation therapy
Tibial nerve
Retrospective studies
Chronic pelvic pain syndrome
