神经肌肉电刺激联合手法按摩治疗产后早期会阴瘢痕疼痛的效果  

Effect of neuromuscular electrical stimulation combined with manual massage treating early postpartum perineal scar pain

作　　者：徐晶晶 XU Jingjing(Department of Obstetrics and Gynecology,Pizhou Hospital of Traditional Chinese Medicine,Jiangsu Province,Pizhou 221300,China)

机构地区：[1]江苏省邳州市中医院妇产科,江苏邳州221300

出　　处：《妇儿健康导刊》2024年第24期81-84,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析神经肌肉电刺激联合手法按摩治疗产后早期会阴瘢痕疼痛的效果。方法选取2021年1月至2023年12月邳州市中医院收治的76例产后早期会阴瘢痕疼痛患者作为研究对象,以随机数字表法分为两组。对照组(38例)采用手法按摩治疗,观察组(38例)采用神经肌肉电刺激联合手法按摩治疗。比较两组疼痛程度[视觉模拟评分法(VAS)评分]、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)评分]、阴道收缩力、瘢痕程度[温哥华瘢痕评估量表(VSS)评分]。结果产后42 d,两组VAS评分、PSQI评分、阴道收缩力、VSS评分比较,差异无统计学意义(P>0.05)。产后3个月,观察组VAS、PSQI、VSS评分均较对照组低,阴道收缩力较对照组高(P<0.05)。结论神经肌肉电刺激联合手法按摩治疗可减轻产后早期会阴瘢痕疼痛和瘢痕程度,提高阴道收缩力,改善患者睡眠质量。Objective To analyze the effect of neuromuscular electrical stimulation combined with manual massage treating early postpartum perineal scar pain.Methods A total of 76 patients with early postpartum perineal scar pain admitted to Pizhou Hospital of Traditional Chinese Medicine from January 2021 to December 2023 were selected as the study objects and were divided into two groups by the random number table method.The control group(38 cases)was treated with manual massage,and the observation group(38 cases)was treated with neuromuscular electrical stimulation combined with manual massage.The pain levels(visual analogue scale[VAS]score),sleep quality(Pittsburgh sleep quality index[PSQI]score),vaginal contractility,and scar degree(Vancouver scar scale[VSS]score)of the two groups were compared.Results Forty-two days after delivery,there were no statistically significant differences in the VAS score,PSQI score,vaginal contractility,and VSS score between the two groups(P>0.05).Three months postpartum,the VAS,PSQI,and VSS scores in the observation group were lower than those in the control group,and the vaginal contractility in the observation group was higher than that in the control group(P<0.05).Conclusion Neuromuscular electrical stimulation combined with manual massage can reduce early postpartum perineal scar pain and scar degree,and improve vaginal contractility and the sleep quality of pati ents.

关 键 词：神经肌肉电刺激 手法按摩 会阴瘢痕疼痛 

分 类 号：R714.25[医药卫生—妇产科学]