摘要
目的旨在探讨仿生物理治疗联合中医艾灸法治疗女性盆底肌筋膜疼痛综合征(MPPS)的临床疗效。方法收集2018年6月至2020年6月诊断为MPPS患者120例(均有性生活史),所有患者符合女性慢性盆腔痛诊断标准,妇科查体存在盆底肌肉和筋膜疼痛触发点。根据治疗方式的不同,将120例患者分为仿生物理治疗组和联合葫芦灸治疗组,每组60例。仿生物理治疗组通过低频神经肌肉刺激治疗仪Rx-C4-IV,对盆底肌肉进行电刺激治疗。联合葫芦灸治疗组,在仿生物理治疗基础上,加用葫芦灸治疗,以神阙穴、关元穴、子宫穴为中心进行艾灸。结果联合葫芦灸治疗组治疗MPPS的有效率(95%)高于仿生物理治疗组(81.67%);联合葫芦灸治疗组治疗后患者主观疼痛评分以及盆底肌筋膜触痛评分均低于仿生物理治疗组,差异有统计学意义(P<0.05);2组患者治疗后盆底表面肌电的前、后静息阶段平均波幅及变异系数均较治疗前下降,且联合葫芦灸治疗组治疗后平均波幅及变异系数低于仿生物理治疗组(P<0.05);2组患者治疗后快肌阶段的最大波幅均明显上升,恢复时间及上升时间与治疗前比较均缩短,联合葫芦灸治疗组最大波幅上升程度高于仿生物理治疗组,恢复时间及上升时间短于仿生物理治疗组(P<0.05);2组患者治疗后慢肌阶段与耐力测试阶段的平均波幅均升高,变异系数均下降,且联合葫芦灸治疗组平均波幅高于仿生物理治疗组,变异系数低于仿生物理治疗组,差异均有统计学意义(P<0.05)。结论仿生物理治疗联合葫芦灸治疗可以明显缓解MPPS患者的主观疼痛及盆底肌筋膜触痛,改善盆底肌无意识收缩及不协调运动,增加肌肉的抗疲劳性,缓解肌肉痉挛,效果显著。
Objective To explore the clinical efficacy of bionic physiotherapy combined with Chinese moxibustion on female patients with myofascial pelvic pain syndrome(MPPS).Methods A total of 120 female patients diagnosed with MPPS in our hospital from June 2018 to June 2020 were recruited,all of whom had history of sexual intercourse.They were in accordance with the diagnostic criteria for chronic pelvic pain,and pelvic floor muscle and fascia pain trigger points were detected in the gynecological examination.According to the treatment modalities,they were divided into bionic physiotherapy group(60 patients)and gourd moxibustion combination group(60 patients).In the bionic physiotherapy group,the pelvic floor muscles were treated with electrical stimulation using a low-frequency neuromuscular stimulation therapy instrument(Rx-C4-IV).Patients in the gourd moxibustion combination group were treated with electrical stimulation plus gourd moxibustion on the acupoints of Shenque(CV8),Guanyuan(RN04)and Zigong(EX-CA1).Results The effective rate of MPPS was significantly higher in the gourd moxibustion combination group than that of the bionic physiotherapy group(95.00%vs 81.67%,P<0.05).The Numeric Rating Scale(NRS)for subjective pain and pelvic floor myofascial tenderness scores were significantly lower in the gourd moxibustion combination group than those of bionic physiotherapy group(P<0.05).The mean wave amplitude and coefficient of variation of pelvic floor surface electromyography(EMG)in the pre-and post-resting phases decreased in both groups compared with those of pre-treatment values,which were significantly lower in the gourd moxibustion combination group than those of bionic physiotherapy group(P<0.05).The maximum wave amplitude in the fast muscle phase increased significantly in both groups,and the recovery time and rise time were significantly shortened than those of the pre-treatment levels,which were significantly pronounced in the gourd moxibustion combination group than those of bionic physiotherapy group(P<0.05)
作者
苏小娟
李韵颖
陈海龙
尹向梅
刘俊霞
杨惠茜
SU Xiaojuan;LI Yunying;CHEN Hailong(Department of Gynecology,Shijiazhuang People’s Hospital,Hebei,Shijiazhuang 050011,China)
出处
《河北医药》
CAS
2023年第23期3563-3566,共4页
Hebei Medical Journal
关键词
慢性盆腔痛
盆底肌筋膜疼痛综合征
电刺激
葫芦灸
chronic pelvic pain
myofascial pelvic pain syndrome(MPPS)
electrical stimulation
cucurbit moxibustion
