手法按摩联合中药灌肠在产后盆底肌筋膜疼痛中的应用效果  

Application effect of manual massage combined with traditional Chinese medicine enema in postpartum pelvic floor myofascial pain

作　　者：俞茜 蔡力红 胡燕 周莹 陈新豪 YU Qian;CAI Lihong;HU Yan;ZHOU Ying;CHEN Xinhao(Department of Obstetrical,Shangrao People's Hospital,Jiangxi Province,Shangrao334000,China)

机构地区：[1]江西省上饶市人民医院产科,江西上饶334000

出　　处：《中国当代医药》2024年第33期67-70,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2022B107)。

摘　　要：目的探讨手法按摩联合中药灌肠在产后盆底肌筋膜疼痛中的应用效果。方法选取2022年1月至2023年10月上饶市人民医院150例产后盆底肌筋膜疼痛患者作为研究对象,按照随机数字表法分为观察组和对照组,每组各75例。对照组采用手法按摩治疗,观察组采用手法按摩联合中药灌肠治疗,比较两组患者治疗前后的主观疼痛、盆底肌压痛和盆底肌力。结果治疗7、14 d后,两组患者主观疼痛及盆底肌压痛评分均低于本组治疗前,观察组主观疼痛及盆底肌压痛评分低于对照组,差异有统计学意义(P<0.05)。两组患者盆底肌力均优于本组治疗前,观察组盆底肌力优于对照组,差异有统计学意义(P<0.05)。结论手法按摩联合中药灌肠可显著缓解产后盆底肌筋膜疼痛,改善患者盆底肌力,值得临床推广。Objective To explore the application effect of manual massage combined with traditional Chinese medicine enema in postpartum pelvic floor myofascial pain.Methods A total of 150 patients with postpartum pelvic floor myofascial pain in Shangrao People's Hospital from January 2022 to October 2023 were selected as research objects,and they were divided into observation group and control group according to random number table method,with 75 cases in each group.The control group was treated with manual massage,and the observation group was treated with manual massage combined with traditional Chinese medicine enema.Subjective pain,pelvic floor muscle tenderness and pelvic floor muscle strength were compared before and after treatment between the two groups.Results After 7 and 14 days of treatment,the scores of subjective pain and pelvic floor muscle tenderness in two groups were lower than those before treatment of the two groups,and the scores of subjective pain and pelvic floor muscle tenderness in observation group were lower than those in control group,with statistical significances(P<0.05).The pelvic floor muscle strength in both groups were better than those before treatment of the two groups,and the pelvic floor muscle strength in the observation group was better than that in the control group,with statistical significances(P<0.05).Conclusion Manual massage combined with traditional Chinese medicine enema can significantly relieve postpartum pelvic floor myofascial pain and improve pelvic floor muscle strength,which is worthy of clinical promotion.

关 键 词：产后盆底肌筋膜疼痛 手法按摩 中药灌肠 疼痛 

分 类 号：R711[医药卫生—妇产科学]