肌筋膜指法放松配合神经肌肉电刺激治疗盆底肌筋膜疼痛综合征的疗效观察  

Efficacy observation of myofascial fingering relaxation combined with neuromuscular electrical stimulation in the treatment of myofascial pelvic pain syndrome

作　　者：郑冰心 邓翠艳 彭显秀 ZHENG Bing-xin;DENG Cui-yan;PENG Xian-xiu(Jiaozhou Central Hospital of Qingdao,Qingdao 266300,China)

机构地区：[1]山东省青岛市胶州中心医院,山东青岛266300

出　　处：《实用医院临床杂志》2024年第2期94-97,共4页Practical Journal of Clinical Medicine

基　　金：青岛市医药卫生科研项目(编号:2017-WJZD100)。

摘　　要：目的探讨肌筋膜指法放松配合神经肌肉电刺激治疗盆底肌筋膜疼痛综合征(MPPS)的疗效。方法选择2020年1月至2023年5月于我院就诊的206例MPPS患者,采用随机数字表法分为对照组(n=103)与试验组(n=103),其中对照组采用神经肌肉电刺激治疗,试验组在此基础上采用肌筋膜指法放松治疗,比较两组疗效、盆底表面肌电(Glazer)评估、疼痛程度以及女性性功能指数(FSFI)。结果试验组治疗有效率高于对照组(P<0.05);两组治疗后前静息、后静息变异系数及静息电位较治疗前下降,快速收缩、耐力收缩数据较治疗前上升,试验组指标优于对照组(P<0.05);两组治疗前后持续收缩数据比较差异无统计学意义(P>0.05);两组治疗后视觉模拟评分(VAS)下降,FSFI评分上升,且试验组VAS评分低于对照组,FSFI评分高于对照组(P<0.05)。结论对MPPS患者采用肌筋膜指法放松配合神经肌肉电刺激治疗可显著提升疗效与盆底肌力,缓解疼痛,改善性生活质量,可用于临床推广。Objective To explore the efficacy of myofascial fingering relaxation combined with neuromuscular electrical stimulation in the treatment of myofascial pelvic pain syndrome(MPPS).Methods A total of 206 patients with MPPS treated in our hospital from January 2020 to May 2023 were selected.They were divided into a control group and a treatment group by using random number table method,103 in each group.The control group was treated with neuromuscular electrical stimulation.The treatment group was treated with myofascial fingering relaxation combined with neuromuscular electrical stimulation.The efficacy,Glazer pelvic floor muscle surface electromyography,pain degree,and female sexual function index(FSFI)were compared between the two groups.Results The effective rate of treatment was higher in the treatment group than that in the control group(P<0.05).After treatment,pre-resting and post-resting coefficient of variation,and resting potential were decreased while rapid contraction and endurance contraction were increased in the two groups.Above indicators in the treatment group were better than those in the control group(P<0.05).There was no statistically significant difference in continuous contraction data before and after treatment between the two groups(P>0.05).After treatment,the Visual Analogue Scale(VAS)scores of the two groups was decreased,and the FSFI scores were increased.The experimental group had lower VAS score and higher FSFI score than the control group did(P<0.05).Conclusions Application of myofascial fingering relaxation combined with neuromuscular electrical stimulation in the treatment of patients with MPPS can significantly improve the efficacy and pelvic floor muscle strength,alleviate the pain,and improve the quality of sexual life.It can be used for clinical promotion.

关 键 词：盆底肌筋膜疼痛综合征 神经肌肉电刺激 肌筋膜 手法按摩 

分 类 号：R686.3[医药卫生—骨科学]