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作 者:张秀清 李雯华 文仲勇 李末娟 李莉芳 黄懿 黄浩 ZHANG Xiuqing;LI Wenhua;WEN Zhongyong;LI Mojuan;LI Lifang;HUANG Yi;HUANG Hao(Department of Gynaecology,the People's Hospital of Nanhai District,Foshan 528099,China)
机构地区:[1]佛山市南海区人民医院妇科,广东佛山528099
出 处:《临床医学工程》2018年第11期1463-1464,共2页Clinical Medicine & Engineering
基 金:佛山市卫生和计生局医学科研课题"基于表面肌电的盆底肌训练及扩张疗法在治疗女性慢性盆腔疼痛中的应用研究"(项目编号:20160218)
摘 要:目的探讨基于表面肌电的盆底肌训练及扩张疗法治疗女性慢性盆腔疼痛的临床效果。方法 17例慢性盆腔疼痛综合征患者治疗前后常规行盆底肌测试、疼痛评分,手法扩张治疗后行盆底肌放松锻炼,症状完全缓解者进入生物反馈治疗程序,进行盆底肌肉训练。结果在17例慢性盆腔疼痛综合征患者中, 16例完成至少1个疗程治疗,其中治愈11例,显效3例,有效1例,无效1例, 1例治疗2次后疼痛加剧难忍退出治疗,总有效率为88.2%。17例患者中有6例获得半年追踪,无患者症状复发。患者治疗前的后静息电位为(12.229±5.04)μV,与治疗后的(3.781±2.36)μV比较差异有统计学意义(P <0.01);患者治疗前的疼痛评分为(7.88±1.495)分,与治疗后的(1.41±2.917)分比较差异有统计学意义(P <0.01)。结论基于表面肌电的盆底肌训练及扩张疗法治疗慢性盆腔疼痛综合征是一种安全、有效、治愈率较高的方法。Objective To explore the clinical effect of pelvic floor muscle training and dilatation therapy based on surface electromyography in the treatment of female chronic pelvic pain.Methods 17 cases of patients with chronic pelvic pain syndrome were given pelvic floor muscle examination and pain score before and after treatment,pelvic floor muscle relaxation exercise was performed after dilatation therapy,and the patients with complete remission of symptoms entered the biofeedback treatment program for pelvic floor muscle training.Results Among the 17 patients with chronic pelvic pain syndrome,16 cases completed at least one course of treatment,11 were cured,3 cases were markedly effective,1 case was effective,1 case was ineffective and 1 withdrew after 2 times of treatment due to pain,with the total effective rate of 88.2%.6 out of 17 cases of patients were followed up for half a year without recurrence.The posterior resting potential before treatment was(12.229±5.04)μV,and had statistical difference with(3.781±2.36)μV after treatment(P<0.01).The pain score before treatment was(7.88±1.495)points,and had statistical difference with(1.41±2.917)points after treatment(P<0.01).Conclusions Pelvic floor muscle training and dilatation therapy based on surface electromyography is a safe and effective method with higher cure rate for chronic pelvic pain syndrome.
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