摘要
目的探讨经阴触发点手法松解联合仿生物电刺激治疗女性盆底肌筋膜疼痛综合征的疗效。方法选取2020年6月-2022年6月于山东省妇幼保健院盆底诊治与产后康复科门诊就诊的260例女性盆底肌筋膜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、仿生物电刺激组、手法松解组与综合治疗组。对照组给予生活方式干预及放松训练;手法松解组进行放松训练+经阴触发点松解治疗;仿生物电刺激组进行放松训练+低频脉冲电治疗;综合治疗组行放松训练+经阴触发点松解+低频脉冲电刺激治疗,除对照组外,其余3组均以治疗7次为1个疗程,隔日1次,休息7 d后开始第2个疗程。分别于治疗前及治疗第2个疗程结束后休息7 d评估4组患者盆底肌筋膜疼痛情况(Mc Gill疼痛评分)、功能障碍情况[采用Oswestry功能障碍指数(ODI)评估]、盆底表面肌电情况(盆底肌筋膜高张与肌肉舒缩状态)。结果对照组治疗前后Mc Gill疼痛评分、ODI评分、盆底肌筋膜高张与肌肉舒缩状态参数比较差异均无统计学意义(P均>0.05);治疗后,仿生物电刺激组、手法松解组与综合治疗组Mc Gill疼痛评分、ODI评分及盆底前后静息电位波幅均较治疗前明显降低(P均<0.05),快速收缩阶段、紧张收缩阶段及耐力收缩阶段肌肉收缩波幅均较治疗前明显升高(P均<0.05),且综合治疗组各指标较其他组改善更为显著(P均<0.05)。结论经阴触发点手法松解联合仿生物电刺激可明显减轻女性盆底肌筋膜疼痛综合征患者疼痛,改善功能障碍、盆底肌筋膜高张及盆底肌舒缩状态。
Objective It is to explore the efficacy of pelvic myofascial trigger point manipulative release combined with biomimetic electrical stimulation in the treatment of female myofascial pelvic pain syndrome.Methods A total of 260 cases of female patients with myofascial pelvic pain syndrome treated at the outpatient clinic of Pelvic Floor Diagnosis and Treatment and Postpartum Rehabilitation Department of Shandong Maternal and Child Health Hospital from June 2020 to June 2022 were selected and divided into control group,biomimetic electrical stimulation group,manipulation relaxation group,and comprehensive treatment group according to randomized numerical table.The control group was given lifestyle intervention and relaxation training;the manipulation relaxation group was given relaxation training+pelvic myoffascial trigger point manipulative relaxation,the biomimetic electrical stimulation group was given relaxation training+low-frequency pulsed electrical therapy,and the comprehensive treatment group was given relaxation training+pelvic myoffascial trigger point manipulative relaxation+low-frequency pulsed electrical stimulation.Except for the control group,the other three groups were treated 7 times as 1 course of treatment,every other day,and the 2nd course of treatment was started after 7 days of rest.The pelvic floor myofascial pain(Mc Gill pain score),dysfunction[assessed by the Oswestry dysfunction index(ODI)],and pelvic floor surface electromyography(pelvic floor myofascial hypertonicity and muscle diastolic status)were assessed in the four groups before treatment and after 7 days of rest after the 2nd course of treatment.Results There was no statistically significant difference in Mc Gill pain score,ODI score,pelvic floor myofascial hypertonicity and muscle diastolic status parameters between before and after the treatment in the control group(all P>0.05);after the treatment,the Mc Gill pain score,ODI score,and the amplitudes of the anterior and posterior resting potential of the pelvic floor were significa
作者
侯晓
许建红
王妮
郭琼
郑春丽
HOU Xiao;XU Jianhong;WANG Ni;GUO Qiong;ZHENG Chunli(Shandong Maternal and Child Health Hospital,Qingdao University,Jinan 250014,Shandong,China;Affiliated Hospital of Shandong Academy of Traditional Chinese Medicine,Jinan 250014,Shandong,China;Huantai Maternal and Child Health Hospital,Huantai 256400,Shandong,China)
出处
《现代中西医结合杂志》
CAS
2023年第20期2803-2808,2884,共7页
Modern Journal of Integrated Traditional Chinese and Western Medicine
基金
国家中医药管理局科技司共建科技项目(GZY-KJS-SD-2023-064)
山东省中医药科技项目(Q-2023092,Z-202387,M2022197)
山东省妇幼保健协会科技创新计划项目(SFYXH-2023Y002)。
关键词
慢性盆腔疼痛
盆底肌筋膜疼痛综合征
仿生物电刺激
触发点
chronic pelvic pain
myofascial pelvic pain syndrome
biomimetic electrical stimulation
trigger point
