生物反馈电刺激联合腹下丛连续阻滞治疗女性慢性盆腔痛的疗效观察  

Therapeutic effect of biofeedback stimulation combined with hypogastric plexus blocking on chronic pelvic pain

作　　者：孟杰 洪莉[1] 刘成[1] 肖航[2] 陈辉[2] 

机构地区：[1]武汉大学人民医院妇二科,武汉430060 [2]孝感市中心医院麻醉科,湖北孝感432000

出　　处：《实用医学杂志》2018年第4期579-582,共4页The Journal of Practical Medicine

基　　金：国家自然科学基金青年科学基金项目(编号:81701424);中央高校基本科研业务费专项资金(编号:2042017kf0114)

摘　　要：目的探讨生物反馈电刺激联合腹下丛连续阻滞治疗女性慢性盆腔痛的临床效果。方法60例诊断为慢性盆腔痛(CPP)患者随机分为生物反馈电刺激组(BF组,n=20)、腹下丛连续阻滞组(NB组,n=20)和联合组(BF-NB组,n=20)。BF组进行盆底神经肌肉电刺激治疗2个月;NB组在C型臂透视下置管于腹下丛神经周围连续阻滞2周;联合组先腹下丛神经阻滞2周后进行盆底神经肌肉电刺激治疗2个月。观察记录治疗前、治疗2周、治疗4周,治疗8周和治疗后3个月的盆腔疼痛评分,治疗后3个月疗效和腹下丛神经阻滞不良反应。结果 BF-NB组治疗2周、治疗4周、治疗8周和治疗后3个月疼痛VAS评分明显低于治疗前和其他组(P<0.05);显效率及总有效率明显高于BF组和NB组(P<0.05);BF-NB组和NB组神经阻滞不良反应比例无明显差异(P>0.05)。结论生物反馈电刺激联合腹下丛连续阻滞是一种安全有效的缓解女性慢性盆腔痛的方法。Objective To study the clinical effect of biofeedback stimulation combined with hypogastric plexus blocking on chronic pelvic pain. Methods Sixty of patients with chronic pelvic pain （CPP） were randomly divided into the biofeedback stimulation group （BF group, n = 20） , the continuous abdominal block group （NB group, n = 20） and the combination group （BF-NB Group, n = 20）. The BF group was treated with biofeedback electrical stimulation for 2 months, while the NB group was treated with continuous hypogastric plexus blocking for 2 weeks and the BF-NB group was pretreated with 2 weeks of hypogastric plexus blocking and then underwent biofeedback electrical stimulation for 2 months. We recorded the visual analogue scale （VAS） scores before treatment, 2, 4, 8 weeks and 3 months after the treatment and adverse events. Results The VAS scores of the BF -NB group at 2, 4, 8 weeks and 3 months after treatment were significantly lower than those before treatment and the other groups （P 〈 0.05）. The significantly effective rate and total effective rate of the BF-NB group were significantly higher than those before treatment of the BF group and the NB group （P 〈 0.05）. There was no significant difference in rate of adverse events between the BF-NB group and the NB group （P 〉 0.05）. Conclusion The biofeedback electrical stimulation combined with the hypogastric plexus block is a safe and effective method to relieve chronic pelvic pain.

关 键 词：生物反馈电刺激 腹下神经丛 连续神经阻滞 慢性盆腔痛综合征 

分 类 号：R711.5[医药卫生—妇产科学]