自我按摩配合生物反馈电刺激在盆腔肌筋膜疼痛中的疗效研究  

Efficacy of self-massage combined with biofeedback electrical stimulation in myofascial pelvic pain

作　　者：姚珊珊 徐敬云[1] 陈梦圆 丁波[1] 沈杨[1] Yao Shanshan;Xu Jingyun;Chen Mengyuan(Department of Obstetrics and Gynecology,Zhongda Hospital Affiliated to Southeast University,Nanjing 210009)

机构地区：[1]东南大学附属中大医院妇产科,南京210009

出　　处：《现代妇产科进展》2020年第11期830-833,共4页Progress in Obstetrics and Gynecology

基　　金：国家自然科学基金资助项目(No:81673130)。

摘　　要：目的:评估自我按摩配合生物反馈电刺激对盆腔肌筋膜疼痛(MFPP)患者的治疗疗效。方法:选取2017年9月至2019年12月于东南大学附属中大医院就诊的60例MFPP患者,将患者随机分为试验组(30例)和对照组(30例)。研究分为两个阶段,第一阶段第1~4周,试验组给予自我按摩配合生物反馈电刺激治疗,对照组给予生物反馈电刺激治疗组,第4周末评估疗效;第二阶段第5~8周,对照组无效患者采用自我按摩配合生物反馈电刺激方法治疗,第8周末再次评估疗效。结果:第4周末,自我按摩配合生物反馈电刺激和生物反馈电刺激可有效降低患者主客观疼痛(P<0.05),改善盆底肌肉表面前静息、后静息肌电电位(P<0.05),降低平均触发点个数,同时试验组改善程度和治愈率显著优于对照组(P<0.05)。第8周末,对照组无效的8例患者,经自我按摩配合生物反馈电刺激方法治疗后,有4例治愈,4例疼痛明显降低。结论:两种治疗方法均可对MFPP有治疗作用,自我按摩配合生物反馈电刺激治疗对MFPP疗效更为明显,且对生物反馈电刺激治疗无效的MFPP患者仍有效。Objective:To evaluate the effect of self-massage combined with biofeedback electrical stimulation on patients with myofascial pelvic pain(MFPP).Methods:Between September 2017 and December 2019,60 patients with MFPP diagnosed by the Affiliated Zhongda Hospital of Southeast University,research was divided into two stages.The first stage:at 1~4 weeks,60 patients were randomly divided into experimental group(self-massage combined with biofeedback electrical stimulation treatment group,30 cases)and control group(biofeedback electrical stimulation treatment group,30 cases),the efficacy was evaluated at the end of the fourth week.The second stage:at 5~8 weeks,the control group invalid patients used self-massage combined with biofeedback electrical stimulation to treat,and the efficacy was evaluated again at week 8.Result:At the 4th week,self-massage combined with biofeedback electrical stimulation and biofeedback electrical stimulation could effectively reduce the subjective and objective pain of patients(P<0.05),improve the anterior and posterior resting myoelectric potential of pelvic floor muscles(P<0.05),and reduce the average number of Myofascial trigger points(MTrPs).The cure rate of the experimental group was significantly better than that of the control group(P<0.05).At the 8th week,8 patients who were ineffective in the control group were cured by self-massage combined with biofeedback electrical stimulation method,4 patients were cured and 4 patients had significantly reduced pain.Conclusion:Both of the two treatment methods could have therapeutic effect on MFPP,self-massage combined with biofeedback electric stimulation therapy had more obvious effect on MFPP,and was still effective for MFPP patients who had no effect on biofeedback electric stimulation therapy.

关 键 词：自我按摩 生物反馈电刺激 触发点 盆腔肌筋膜疼痛 

分 类 号：R711[医药卫生—妇产科学]