经皮神经电刺激联合盆底功能训练在盆腔淤血综合征患者中的应用效果  

Effects of percutaneous nerve electrical stimulation combined with pelvic floor function training in treatment of patients with pelvic congestion syndrome

作　　者：何冬梅 HE Dongmei(Department of Gynecology of Yushan County Maternal and Child Health Hospital,Shangrao 334700 Jiangxi,China)

机构地区：[1]玉山县妇幼保健院妇科,江西上饶334700

出　　处：《中国民康医学》2024年第15期87-90,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察经皮神经电刺激联合盆底功能训练治疗盆腔淤血综合征患者的效果。方法:回顾性分析2021年5月至2023年5月该院收治的64例盆腔淤血综合征患者的临床资料,按照干预方法不同将其分为对照组和研究组各32例。对照组予以盆底功能训练干预,研究组在对照组基础上联合经皮神经电刺激干预。比较两组干预前后盆腔静脉指标(盆腔静脉血流速度、盆腔静脉内径)水平、疼痛介质(前列腺素E_(2)、P物质)水平、疼痛[视觉模拟评分法(VAS)]评分和生命质量[健康状况调查简表(SF-36)]评分。结果:干预后,研究组盆腔静脉血流速度大于对照组,盆腔静脉内径小于对照组,差异均有统计学意义(P<0.05);干预后,研究组前列腺素E_(2)、P物质水平均低于对照组,差异有统计学意义(P<0.05);干预后,研究组VAS评分低于对照组,SF-36各维度评分高于对照组,差异均有统计学意义(P<0.05)。结论:经皮神经电刺激联合盆底功能训练应用于盆腔淤血综合征患者可改善盆腔静脉指标水平,降低疼痛介质水平和疼痛评分,提高生命质量评分,效果优于单纯盆底功能训练干预。Objective:To observe effects of percutaneous nerve electrical stimulation combined with pelvic floor function training in patients with pelvic congestion syndrome.Methods:The clinical data of 64 patients with pelvic congestion syndrome admitted to this hospital from May 2021 to May 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group and study group,32 cases in each group.The control group was given pelvicfloor function training,while the study group was combined with percutaneous nerve electrical stimulation on the basis of that of the control group.The pelvic vein index(pelvic vein bloodflow velocity,pelvic vein diameter)levels,the pain mediator(prostaglandin E_(2),substance P)levels,the pain[visual analogue scale(VAS)]score,and the quality of life[short form health survey(SF-36)]score were compared between the two groups before and after the intervention.Results:After the intervention,the pelvic vein bloodflow velocity in the study group was higher than that in the control group,the inner diameter of pelvic vein was smaller than that in the control group,and the differences were statistically significant(P<0.05).After the intervention,the levels of prostaglandin E_(2)and substance P in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the VAS score of the study group was lower than that of the control group,the scores of each dimension of SF-36 in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Percutaneous nerve electrical stimulation combined with pelvicfloor function training in the patients with pelvic congestion syndrome can improve the levels of pelvic vein indexes,reduce the levels of pain mediators and the pain scores,and improve the quality of life scores.Moreover,it is superior to simple pelvicfloor function training intervention.

关 键 词：盆腔淤血综合征 经皮神经电刺激 盆底功能训练 盆腔静脉 疼痛 疼痛介质 生命质量 

分 类 号：R711[医药卫生—妇产科学]