手法按摩+雷火灸联合电刺激生物反馈治疗盆底肌筋膜疼痛的临床效果研究  

Study on the clinical effect of manual massage+thunder-fire moxibustion combined with electrical stimulation biofeedback in the treatment of pelvic floor myofascial pain

作　　者：谭丽 喻意美 肖丛 刘书琼 许苗 袁清连 Tan Li;Yu Yimei;Xiao Cong;Liu Shuqiong;Xu Miao;Yuan Qinglian(Department of Gynecology,Shenzhen Luohu Hospital of Traditional Chinese Medicine,Shenzhen 518001,China)

机构地区：[1]深圳罗湖区中医院妇科,广东深圳518001

出　　处：《实用妇科内分泌电子杂志》2024年第1期7-9,共3页Electronic Journal of Practical Gynecological Endocrinology

基　　金：罗湖区软科学研究计划项目(编号LX202302062)。

摘　　要：目的分析盆底肌筋膜疼痛采取手法按摩+雷火灸联合电刺激生物反馈治疗的临床疗效。方法选取100例盆底肌筋膜疼痛患者,按照随机数字表法分为两组,每组50例。对照组行电刺激生物反馈治疗,观察组行手法按摩+雷火灸联合电刺激生物反馈治疗。比较两组主观疼痛视觉模拟评分(VAS)、盆底肌压痛VAS评分以及盆底表面肌电测量指标变化情况。结果观察组治疗后主观疼痛、盆底肌压痛VAS评分较对照组降低更显著(P<0.05)。治疗后两组前静息电位、10s快速收缩、60s耐久收缩、后静息电位的平均波幅相比治疗前均改善(P<0.05)。结论盆底肌筋膜疼痛采取手法按摩+雷火灸联合电刺激生物反馈治疗,有助于提升盆底肌力,明显减轻疼痛症状。Objective To analyze the therapeutic effect of manual massage+lightning moxibustion combined with electrical stimulation biofeedback on pelvic floor myofascia pain.Methods 100 patients with pelvic floor myofascial pain were selected and divided into two groups with 50 cases in each group according to random number table method.The control group received electrical stimulation biofeedback treatment,and the observation group received manual massage+lightning fire moxibustion combined with electrical stimulation biofeedback treatment.Subjective visual analogue scale(VAs),pelvic floor muscle tenderness VAS and pelvic floor surface electromyography were compared between the two groups.Results The VAS scores of subjective pain and pelvic floor muscle tenderness after treatment in the observation group were significantly lower than those in the control group(P<0.05).After treatment,the average amplitude of pre-resting potential,rapid contraction for 10 s,durable contraction for 60 s and post-resting potential in both groups were improved compared with that before treatment(P<0.05).Conclusion The treatment of pelvic floor myofascial pain by manual massage+thunderfire moxibustion combined with electrical stimulation biofeedback is beneficial to improve pelvic floor muscle strength and significantly reduce pain symptoms.

关 键 词：盆底肌筋膜疼痛 手法按摩 雷火灸 电刺激生物反馈治疗 

分 类 号：R711.5[医药卫生—妇产科学]