电针治疗盆腔瘀血综合征的临床观察  

Clinical Observation on Electro-acupuncture for the Pelvic Congestion Syndrome

作　　者：张世科 何慧 高维滨[4] ZHANG Shi-Ke;HE Hui;GAO Wei-Bin(Yantian Hospital,Southern University of Science and Technology,Shenzhen 518081 Guangdong,China;First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150040 Heilongjiang,China;The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052 Henan,China;Second Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150001 Heilongjiang,China)

机构地区：[1]南方科技大学盐田医院,广东深圳518081 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [3]郑州大学第一附属医院,河南郑州450052 [4]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001

出　　处：《广州中医药大学学报》2022年第7期1555-1561,共7页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家重点研发计划资助项目(编号:2019YFC1709500)。

摘　　要：【目的】观察电针治疗盆腔瘀血综合征的临床疗效。【方法】将70例盆腔瘀血综合征患者随机分为观察组和对照组,每组各35例,观察组给予电针治疗,对照组给予阴道低频电脉冲刺激盆底肌肉治疗。1个月为1个疗程,避开月经期,连续治疗3个疗程。治疗3个月后,观察2组患者治疗前后视觉模拟量表(VAS)评分的变化情况,以及痛经症状量表(CMSS)评分、女性性功能指数调查量表(FSFI)评分和盆底肌力测定(PFMST)评分的变化情况。比较2组患者治疗前后子宫壁间静脉内径、附件围静脉丛曲张面积、子宫壁间静脉血流速度和髂内静脉血流速度的变化情况。【结果】(1)研究过程中,观察组失访2例,对照组失访3例。最终观察组33例、对照组32例纳入统计。(2)治疗后,2组患者的VAS评分明显改善(P<0.05),且观察组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的CMSS严重程度和持续时间评分均明显改善(P<0.05),且观察组在改善CMSS严重程度和持续时间评分方面明显优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者FSFI的总分及各项评分(包括性欲、性唤起、阴道润滑、性高潮、性满意度、性交痛)均明显改善(P<0.05),且观察组在改善FSFI的总分及各项评分方面明显优于对照组,差异有统计学意义(P<0.05)。(5)治疗后,2组患者的PFMST评分明显改善(P<0.05),且观察组在改善PFMST评分方面明显优于对照组,差异有统计学意义(P<0.05)。(6)治疗后,2组患者的子宫壁间静脉内径和附件围静脉丛曲张面积均显著降低,且观察组在降低子宫壁间静脉内径和附件围静脉丛曲张面积方面明显优于对照组,差异有统计学意义(P<0.05)。治疗后,2组患者的子宫壁间静脉血流速度和髂内静脉血流速度均显著升高,且观察组在提高子宫壁间静脉血流速度和髂内静脉血流速度方面明显优于对照�Objective To observe the clinical efficacy of electro-acupuncture in the treatment of pelvic congestion syndrome(PCS).Methods Seventy PCS patients were randomly divided into the observation group and the control group,35 patients in each group.The observation group was treated with electro-acupuncture,while the control group was treated with vaginal low-frequency electrical impulses to stimulate the pelvic floor muscles.One month was considered as a course of treatment,avoiding menstruation,and the treatments lasted for 3 consecutive courses of treatment.After 3 months of treatment,the changes in the Visual Analogue Scale(VAS)scores,the Menstrual Pain Symptom Scale(CMSS)scores,the Female Sexual Function Index(FSFI)scores and the Pelvic Floor Muscle Strength Test(PFMST)scores were observed in both groups before and after treatment.The internal diameter of intermural uterine vein,varicose area of adnexal venous plexus,blood flow velocity of intermural uterine vein and blood flow velocity of internal iliac vein were compared between two groups before and after treatment.Results(1)During the study,2 cases were lost in the observation group and 3 cases were lost in the control group.Finally,33 cases in the observation group and 32 cases in the control group were included in the statistics.(2)After treatment,the VAS scores of patients in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the VAS scores,and the difference was statistically significant(P<0.05).(3)After treatment,the CMSS severity and duration scores of both groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the CMSS severity and duration scores,and the difference was statistically significant(P<0.05).(4)After treatment,the total score and each score of FSFI(including sexual desire,sexual arousal,vaginal lubrication,orgasm,sexual satisfaction and dyspareunia)of the two groups were significant

关 键 词：盆腔瘀血综合征 电针 经皮电神经刺激疗法 女性性功能指数 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]