低频电刺激联合肌筋膜疗法对盆底肌筋膜疼痛的疗效观察  

Observation on the therapeutic effect of low-frequency electrical stimulation combined with myofascial therapy on pelvic floor myofascial pain

作　　者：黄菊英 胡辉艳 余龙英 刘侃 陈伟涛 周宇博 HUANG Juying;HU Huiyan;YU Longying;LIU Kan;CHEN Weitao;ZHOU Yubo(Department of Obstetrics and Gynecology,Shangrao People's Hospital,Jiangxi Province,Shangrao 334000,China)

机构地区：[1]江西省上饶市人民医院妇科,江西上饶334000

出　　处：《中国当代医药》2024年第30期45-48,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2022A289)。

摘　　要：目的观察低频电刺激联合肌筋膜疗法治疗盆底肌筋膜疼痛(MFPP)的效果。方法选取2022年12月至2023年12月江西省上饶市人民医院妇科收治的100例MFPP患者作为研究对象,采用随机数字表法分为A组与B组,两组各50例。A组采取低频电刺激疗法,B组采取低频电刺激疗法联合肌筋膜疗法。比较两组盆底肌力[Laycock改良牛津肌力分级法(MOS)]、盆底肌压痛[视觉模拟评分法(VAS)]、盆底表面肌电Glazer评估、性功能[女性性功能指数(FSFI)]。结果B组治疗后盆底肌力高于A组,差异有统计学意义(P<0.05);B组治疗后VAS评分低于A组,差异有统计学意义(P<0.05)。B组治疗后前、后静息平均肌电值低于A组,快肌最大肌电值、慢肌平均肌电值高于A组,快速收缩放松时间短于A组,差异有统计学意义(P<0.05)。B组治疗后FSFI评分高于A组,差异有统计学意义(P<0.05)。结论低频电刺激联合肌筋膜疗法利于缓解MFPP患者疼痛程度,改善盆底肌肌力、肌电状况,提高性生活质量。Objective To observe the effect of low-frequency electrical stimulation combined with myofascial therapy in the treatment of pelvic floor myofascial pain(MFPP).Methods A total of 100 MFPP patients admitted to the Department of Ob-stetrics and Gynecology,Shangrao People's Hospital in Jiangxi Province from December 2022 to December 2023 were se-lected as the research subjects.They were divided into group A and group B using the random number table method,with 50 cases in each group.Group A received low-frequency electrical stimulation therapy,while group B received low-frequency electrical stimulation therapy combined with myofascial therapy.The pelvic floor muscle strength(Laycock modified Oxford muscle strength grading[MOS])and pelvic floor muscle tenderness(visual analogue scale[VAS]),pelvic floor surface elec-tromyography Glazer evaluation,sexual function(female sexual function index[FSFI])were compared between the two groups.Results The pelvic floor muscle strength of group B after treatment was higher than that of group A,the difference was statistically significant(P<0.05).The VAS score of group B after treatment was lower than that of group A,and the dif-ference was statistically significant(P<0.05).Before and after treatment,the average resting EMG value of group B was lower than that of group A,the maximum EMG value of fast muscle and the average EMG value of slow muscle were higher than that of group A,and the rapid contraction and relaxation time of group B was shorter than that of group A,the differ-ences were statistically significant(P<0.05).The FSFI score of group B was higher than that of group A after treatment,and the difference was statistically significant(P<0.05).Conclusion The combination of low-frequency electrical stimulation and myofascial therapy is beneficial for alleviating pain in patients with MFPP,improving pelvic floor muscle strength and electromyographic status,and enhancing the quality of sexual life.

关 键 词：盆底肌筋膜疼痛 低频电刺激 肌筋膜疗法 性功能 

分 类 号：R711[医药卫生—妇产科学]