加味桃核承气汤联合盆底神经肌肉电刺激、手法按摩治疗女性盆底肌筋膜疼痛综合征临床研究  

Clinical Study on Combination Use of Modified Taohe Chengqi Decoction and Pelvic Floor Neuromuscular Electrical Stimulation and Massotherapy for Myofascial Pelvic Pain Syndrome in Female

作　　者：郑慧君 陈浩波[1] 马大正[1] 潘鸿 ZHENG Huijun;CHEN Haobo;MA Dazheng;PAN Hong(Department of Chinese Medicine Gynecology,Wenzhou TCM Hospital of Zhejiang Chinese Medical University,Wenzhou Zhejiang 325000,China)

机构地区：[1]浙江中医药大学附属温州市中医院中医妇科,浙江温州325000

出　　处：《新中医》2024年第17期1-6,共6页New Chinese Medicine

基　　金：温州市科技局基础性医疗卫生科技项目(Y20211076)。

摘　　要：目的:观察加味桃核承气汤联合盆底神经肌肉电刺激、手法按摩治疗湿热瘀结型女性盆底肌筋膜疼痛综合征(MPPS)的临床疗效。方法:选取120例湿热瘀结型女性MPPS患者,采用随机数字表法分为对照组和观察组各60例。2组均采用盆底神经肌肉电刺激、手法按摩治疗,观察组加用加味桃核承气汤治疗。2组均治疗3周。治疗前后评定2组患者的盆腔疼痛视觉模拟评分法(VAS)评分、盆底肌筋膜压痛VAS评分、女性性功能量表(FSFI)评分及中医证候积分,评估2组的临床疗效。结果:治疗后,观察组总有效率高于对照组(P<0.05)。2组盆腔疼痛VAS评分均较治疗前下降(P<0.05)。观察组盆腔疼痛VAS评分低于对照组(P<0.05)。2组盆底肌筋膜压痛VAS评分均较治疗前下降(P<0.05)。观察组盆底肌筋膜压痛VAS评分低于对照组(P<0.05)。2组FSFI评分均较治疗前上升(P<0.05)。观察组FSFI评分高于对照组(P<0.05)。2组中医证候积分均较治疗前下降(P<0.05)。观察组中医证候积分低于对照组(P<0.05)。结论:加味桃核承气汤联合盆底神经肌肉电刺激、手法按摩治疗湿热瘀结型MPPS女性患者,较采用盆底神经肌肉电刺激联合手法按摩治疗能够更好地减轻盆腔疼痛,改善性生活质量,临床疗效更佳。Objective:To observe the clinical effect of the combination use of modified Taohe Chengqi Decoction and pelvic floor neuromuscular electrical stimulation and massotherapy on myofascial pelvic pain syndrome(MPPS)of damp-heat-stasis accumulation type in female.Methods:A total of 120 MPPS female patients of damp-heat-stasis accumulation type were selected and divided into the control group and the observation group according to the random number table method,with 60 cases in each group.Both groups were treated with pelvic floor neuromuscular electrical stimulation and massotherapy,and the observation group was additionally treated with modified Taohe Chengqi Decoction.Both groups were treated for three weeks.The scores of Visual Analogue Scale(VAS)of pelvic pain and myofascial pelvic pain,scores of Female Sexual Function Index(FSFI)and traditional Chinese medicine(TCM)syndrome scores before and after treatment in the two groups were evaluated,and the clinical effects were evaluated.Results:After treatment,the total effective rate in the observation group was higher than that in the control group(P<0.05).The VAS scores of pelvic pain in the two groups were reduced when compared with those before treatment(P<0.05).The VAS score of pelvic pain in the observation group was lower than that in the control group(P<0.05).The VAS scores of myofascial pelvic pain in the two groups were downregulated when compared with those before treatment(P<0.05).The VAS score of myofascial pelvic pain in the observation group was lower than that in the control group(P<0.05).The FSFI scores in the two groups were elevated when compared with those before treatment(P<0.05).The FSFI score in the observation group was higher than that in the control group(P<0.05).The TCM syndrome scores in the two groups were dwindled when compared with those before treatment(P<0.05).The TCM syndrome score in the observation group were lower than that in the control group(P<0.05).Conclusion:The combination use of modified Taohe Chengqi Decoction and pelvic floo

关 键 词：盆底肌筋膜疼痛综合征 湿热瘀结证 加味桃核承气汤 盆底神经肌肉电刺激 手法按摩 性功能 

分 类 号：R271.9[医药卫生—中西医结合]