表面肌电盆底肌训练及扩张疗法应用于慢性盆腔疼痛患者的临床价值  

Clinical value of surface electromyography of pelvic floor muscle training and expansion therapy for patients with chronic pelvic pain

作　　者：谢丽君 徐丽虹 丘苑清 XIE Lijun;XU Lihong;QIU Yuanqing(Jiaoling County Maternal and Child Health Planning Service Center, Meizhou 514100,China)

机构地区：[1]广东省蕉岭县妇幼保健计划生育服务中心,广东蕉岭514100

出　　处：《中国医药科学》2018年第8期182-184,223,共4页China Medicine And Pharmacy

摘　　要：目的探讨基于表面肌电的盆底肌训练及扩张疗法对于慢性盆腔疼痛的临床价值及护理方法。方法选取2016年6月~2017年6月我院收治的64例慢性盆腔疼痛患者作为研究对象,将其采用随机数字表法分为研究组和对照组,每组各32例。对照组采取常规抗炎、镇痛药物治疗;研究组患者则采取基于表面肌电的盆底肌训练及扩张疗法进行治疗并辅以相应的护理干预。比较两组患者的临床疗效以及疼痛程度的改善情况。结果研究组中治愈10例,显效11例,有效7例,治疗总有效率为87.50%,明显高于对照组的71.88%,差异有统计学意义(P<0.05)。治疗前,两组患者的疼痛程度评分比较,差异无统计学意义(P>0.05)。治疗后,研究组的疼痛程度评分显著低于对照组患者,差异有统计学意义(P<0.05)。结论慢性盆腔疼痛患者应用基于表面肌电的盆底肌训练及扩张疗法进行治疗并辅以相应的护理,能纠正盆底肌功能失调,促进患者恢复盆底肌正常功能,从而明显缓解患者的疼痛症状。Objective To investigate the clinical value and nursing methods of pelvic floor muscle training and expansion therapy based on surface electromyography for chronic pelvic pain. Methods From June 2016 to June 2017,64 patients with chronic pelvic pain in our hospital were selected as the research subjects.All them were randomly divided into study group and control group according random digital table method,32 cases in each group.The patients of control group were treated with routine anti-inflammatory and analgesic drugs,and the patients in the study group were treated with pelvic floor muscle training and expansion therapy based on surface myoelectricity and supplemented with corresponding nursing intervention.The clinical efficacy and degree of pain improvement between the two groups were compared. Results In the study group,10 cases were cured,11 cases were markedly effective and 7 cases were effective.The total effective rate was 87.50%,which was significantly higher than that of the control group（71.88%）,the difference was statistically significant（P 0.05）.Before treatment,the pain degree scores of the two groups were not significantly different（P 0.05）.After treatment,the degree of pain in the study group was significantly lower than that in the control group,the difference was statistically significant（P 0.05）. Conclusion Patients with chronic pelvic pain are treated with pelvic floor muscle training and dilation therapy based on surface electromyography and supplemented with corresponding nursing, which can correct the dysfunction of pelvic floor muscles and promote the recovery of normal function of pelvic floor muscle, thus alleviating the pain symptoms of the patients.

关 键 词：表面肌电 盆底肌训练 扩张疗法 慢性盆腔疼痛 

分 类 号：R271.9[医药卫生—中西医结合]