盆底肌肉电刺激治疗慢性盆腔痛的临床效果及安全性(1)
【摘要】 目的：探讨盆底肌肉电刺激治疗慢性盆腔痛患者的临床效果及安全性。方法：选取2018年8月-2019年11月医院收治的60例慢性盆腔痛患者为研究对象，对照组予以药物治疗，研究组予以盆底肌肉电刺激治疗。比较两组临床疗效、不良反应、疼痛评分等。结果：研究组总有效率明显高于对照组，差异有统计学意义(P<0.05);研究组治疗后NRS评分明显低于治疗前和对照组，差异有统计学意义(P<0.05);研究组不良反应发生率明显低于对照组，差异有统计学意义(P<0.05)。结论：盆底肌肉电刺激治疗慢性盆腔痛患者的临床效果显著，可明显改善疼痛症状，且具有较高的安全性，值得应用。
【关键词】 盆底肌肉电刺激 慢性盆腔痛 临床效果 安全性
doi：10.14033/j.cnki.cfmr.2020.22.008 文献标识码 B 文章编号 1674-6805(2020)22-00-02
[Abstract] Objective： To investigate the clinical effect and safety of pelvic floor muscle electrical stimulation for patients with chronic pelvic pain. Method： A total of 60 patients with chronic pelvic pain treated in the hospital from August 2018 to November 2019 were selected as the research objects. The control group was treated with drugs， and the study group was treated with pelvic floor muscle electrical stimulation. The clinical efficacy， adverse reactions， and pain scores of the two groups were compared. Result： The total effective rate of the study group was significantly higher than that of the control group， and the difference was statistically significant (P<0.05). After treatment， the NRS score of the study group was significantly lower than that before treatment and the control group， and the difference was statistically significant (P<0.05). The incidence of adverse reactions in the study group was significantly lower than that of the control group， and the difference was statistically significant (P<0.05). Conclusion： The pelvic floor muscle electrical stimulation has a significant clinical effect in treating patients with chronic pelvic pain， which can significantly improve the pain symptoms， and has high safety and is worth applying.
[Key words] Pelvic floor muscle electrical stimulation Chronic pelvic pain Clinical effect Safety
First-author’s address： Chashan Hospital of Dongguan， Dongguan 523380， China
慢性盆腔痛是一種常见的妇科疾病，发病率较高且发病机制较复杂，临床症状为盆骨及周围组织反复疼痛，并伴有排尿痛、性交痛及不孕等，严重影响患者的正常生活[1]。以往临床常采取腹腔镜手术或抗生素药物治疗慢性盆腔痛，但复发率较高，副作用较多[2]。研究显示，采取物理疗法治疗慢性盆腔痛的效果明显[3]。盆底肌肉电刺激是常用的物理治疗手段，能够促进患处淋巴血液循环，从而起到缓解疼痛的效果，有助于促进患者尽快恢复。鉴于此，本研究旨在探讨盆底肌肉电刺激治疗慢性盆腔痛患者的临床效果及安全性。
1 资料与方法
1.1 一般资料
选取2018年8月-2019年11月医院收治的60例慢性盆腔痛患者作为研究对象。纳入标准：(1)符合《中华妇产科学》中慢性盆腔痛诊断标准[4];(2)有妊娠史。排除标准：(1)合并生殖器官器质性病变;(2)合并严重心肝肺等功能障碍;(3)合并精神障碍;(4)合并恶性肿瘤;(5)合并阴道相关疾病。研究组年龄22～49岁，平均(40.61±6.29)岁。对照组年龄19～49岁，平均(40.57±6.28)岁。两组年龄对比，差异无统计学意义(P>0.05)。本研究经医院伦理委员会批准，患者均签署知情同意书。
1.2 方法
对照组予以药物治疗，康妇消炎栓[生产企业：葵花药业集团(伊春)有限公司;批准文号：国药准字Z23022143]，直肠给药，1粒/次，1次/d。避开月经期，共治疗3个月。, http://www.100md.com(冯慧 曾榆婷 程丽师 陈少如)
【关键词】 盆底肌肉电刺激 慢性盆腔痛 临床效果 安全性
doi：10.14033/j.cnki.cfmr.2020.22.008 文献标识码 B 文章编号 1674-6805(2020)22-00-02
[Abstract] Objective： To investigate the clinical effect and safety of pelvic floor muscle electrical stimulation for patients with chronic pelvic pain. Method： A total of 60 patients with chronic pelvic pain treated in the hospital from August 2018 to November 2019 were selected as the research objects. The control group was treated with drugs， and the study group was treated with pelvic floor muscle electrical stimulation. The clinical efficacy， adverse reactions， and pain scores of the two groups were compared. Result： The total effective rate of the study group was significantly higher than that of the control group， and the difference was statistically significant (P<0.05). After treatment， the NRS score of the study group was significantly lower than that before treatment and the control group， and the difference was statistically significant (P<0.05). The incidence of adverse reactions in the study group was significantly lower than that of the control group， and the difference was statistically significant (P<0.05). Conclusion： The pelvic floor muscle electrical stimulation has a significant clinical effect in treating patients with chronic pelvic pain， which can significantly improve the pain symptoms， and has high safety and is worth applying.
[Key words] Pelvic floor muscle electrical stimulation Chronic pelvic pain Clinical effect Safety
First-author’s address： Chashan Hospital of Dongguan， Dongguan 523380， China
慢性盆腔痛是一種常见的妇科疾病，发病率较高且发病机制较复杂，临床症状为盆骨及周围组织反复疼痛，并伴有排尿痛、性交痛及不孕等，严重影响患者的正常生活[1]。以往临床常采取腹腔镜手术或抗生素药物治疗慢性盆腔痛，但复发率较高，副作用较多[2]。研究显示，采取物理疗法治疗慢性盆腔痛的效果明显[3]。盆底肌肉电刺激是常用的物理治疗手段，能够促进患处淋巴血液循环，从而起到缓解疼痛的效果，有助于促进患者尽快恢复。鉴于此，本研究旨在探讨盆底肌肉电刺激治疗慢性盆腔痛患者的临床效果及安全性。
1 资料与方法
1.1 一般资料
选取2018年8月-2019年11月医院收治的60例慢性盆腔痛患者作为研究对象。纳入标准：(1)符合《中华妇产科学》中慢性盆腔痛诊断标准[4];(2)有妊娠史。排除标准：(1)合并生殖器官器质性病变;(2)合并严重心肝肺等功能障碍;(3)合并精神障碍;(4)合并恶性肿瘤;(5)合并阴道相关疾病。研究组年龄22～49岁，平均(40.61±6.29)岁。对照组年龄19～49岁，平均(40.57±6.28)岁。两组年龄对比，差异无统计学意义(P>0.05)。本研究经医院伦理委员会批准，患者均签署知情同意书。
1.2 方法
对照组予以药物治疗，康妇消炎栓[生产企业：葵花药业集团(伊春)有限公司;批准文号：国药准字Z23022143]，直肠给药，1粒/次，1次/d。避开月经期，共治疗3个月。, http://www.100md.com(冯慧 曾榆婷 程丽师 陈少如)