针药联合电刺激治疗肝脾失调型慢性盆腔痛的临床研究  

Clinical Study of Chronic Pelvic Pain Combined with Electrical Stimulation

作　　者：向悦 晁洁 欧阳林楠 邓天琦 蒋小飞 XIANG Yue;CHAO Jie;OUYANG Lin-nan;DENG Tian-qi;JIANG Xiao-fei(Department of Gynecology,Xuzhou Traditional Chinese Medicine Hospital,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州市中医院妇科,江苏徐州221000

出　　处：《现代生物医学进展》2025年第3期428-435,共8页Progress in Modern Biomedicine

基　　金：江苏省中医药管理局项目(MS2023074)。

摘　　要：目的:探究针药联合电刺激治疗肝脾失调型慢性盆腔痛(CPP)的应用效果。方法:选择2024年5月到2024年10月于我院治疗的80例肝脾失调型CPP患者,按治疗方式不同分为两组,各40例,治疗组行针药结合电刺激治疗,对照组行单纯电刺激治疗。对比两组患者的中医症状积分、视觉疼痛评分(VAS)、盆底静息电位、生活质量评分及临床有效率。结果:(1)与对照组相比,治疗后,观察组患者带下异常、下腹疼痛、神疲乏力、腰骶疼痛积分均更低(P<0.05);(2)与对照组视觉疼痛评分相比,治疗组患者治疗后及治疗后1个月更低(P<0.05);(3)治疗后,与对照组相比,治疗组患者前静息电位数值更低(P<0.05),快肌电位数值、慢肌电位数值更高(P<0.05);(4)治疗后治疗者WHO生活质量量表评分较对照组更高(P<0.05);(5)治疗组临床有效率为95%,显著高于对照组的80%(P<0.05)。结论:针药联合电刺激治疗肝脾失调型CPP能够显著改善患者临床症状,减轻患者疼痛,提升患者盆底肌肉功能,提升生活质量,具有一定临床推广应用价值。Objective:To explore the effect of acupuncture and electrical stimulation in chronic pelvic pain(CPP).Methods:80 CPP patients with liver and spleen disorders treated in our hospital from May 2024 to October 2024 were divided into two groups according to different treatment methods,40 cases each.The treatment group was treated with injection combined with electrical stimulation,and the control group was treated with simple electrical stimulation.The TCM symptom score,visual pain score(VAS),pelvic floor resting potential,quality of life score and clinical response rate of the two groups were compared.Results:(1)Compared with the control group,the patients had lower band abnormalities,lower abdominal pain,fatigue,and lumbosacral pain points in the observation group(P<0.05).(2)Patients in the control group were lower Post-treatment and 1 month after the control group(P<0.05).(3)Post-treatment,the anterior resting potential was lower(P<0.05)and higher for fast and slow than in the control group(P<0.05).(4)The WHO quality of life scale score was higher than the control group(P<0.05).(5)The clinical response rate in the treatment group was 95%,significantly higher than the 80%in the control group(P<0.05).Conclusion:The treatment of liver and spleen disorder CPP combined with electric stimulation can significantly improve the clinical symptoms of patients,reduce the pain of patients,improve the pelvic floor muscle function of patients,and improve the quality of life,which has certain clinical promotion and application value.

关 键 词：针药联合 电刺激 慢性盆腔痛 肝脾失调 

分 类 号：R3[医药卫生—基础医学] R246.3