盆底肌筋膜扳机点松解联合生物刺激反馈治疗顺产后性交痛的疗效分析  

Analysis of Therapeutic Effect of Pelvic Floor Myofascial Trigger Point Release Combined with Biostimulatory Feedback in the Treatment of Female Dyspareunia after Vaginal Delivery

作　　者：樊雯珺 刘志丹 朱寅洁 毛也然 FAN Wenjun;LIU Zhidan;ZHU Yinjie(Department of Rehabilitation,Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine,Baoshan Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201999,China)

机构地区：[1]上海市宝山区中西医结合医院、上海中医药大学附属宝山医院康复医学科,上海201999

出　　处：《实用妇产科杂志》2025年第3期237-241,共5页Journal of Practical Obstetrics and Gynecology

基　　金：上海市卫生健康委员会科研项目(编号:20214Y0461)。

摘　　要：目的:观察盆底肌筋膜扳机点松解联合生物刺激反馈对顺产后性交痛的临床疗效。方法:选取2022年3月至2023年9月于上海市宝山区中西医结合医院门诊就诊,并确诊为顺产后性交痛的患者122例,根据抽签法随机分为对照组(61例)和研究组(61例)。对照组采用生物刺激反馈治疗,研究组采用盆底肌筋膜扳机点松解联合生物刺激反馈治疗。通过比较两组患者在治疗前后的疼痛点数量及其视觉模拟评分(VAS)评分总和、女性性功能评估量表(FSFI)评分、Glazer盆底表面肌电值,评估盆底肌筋膜扳机点松解联合生物刺激反馈治疗的疗效。结果:治疗后,研究组患者疼痛点数量(3.36±2.01个vs.8.79±3.12个)及其VAS评分总和(4.31±2.93分vs.10.07±4.24分)、Glazer盆底表面平均肌电值在前静息阶段(3.01±0.78μV vs.6.16±1.09μV)与后静息阶段(3.56±0.81μV vs.6.53±1.13μV)均低于对照组,研究组FSFI各项和总评分则明显高于对照组,差异有统计学意义(P<0.05)。结论:盆底肌筋膜扳机点松解联合生物刺激反馈治疗能缓解顺产后性交痛,改善性功能障碍。Objective:To evaluate the clinical effect of pelvic floor trigger point release combined with biostimulation feedback on dyspareunia in women after vaginal delivery.Methods:A total of 122 patients diagnosed with postpartum dyspareunia were selected from the postpartum rehabilitation department,gynecology department and rehabilitation department of Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine from March 2022 to September 2023,and were randomly divided into the control group(61 cases)and the study group(61 cases)according to the lottery method.The control group received biostimulatory feedback treatment,and the study group received pelvic floor trigger point release combined with biostimulatory feedback treatment.The number of pain points and the total score of visual analog scale(VAS),female sexual function assessment scale(FSFI)and Glazer pelvic floor surface electromyography were compared between the two groups before and after treatment to evaluate the efficacy of pelvic floor trigger point release combined with biostimulatory feedback.Results:After treatment,the study group showed significantly fewer pain points(3.36±2.01 points vs.8.79±3.12 points),lower VAS scores(4.31±2.93 points vs.10.07±4.24 points),and reduced Glazer electromyography values during both pre-resting(3.01±0.78μV vs.6.16±1.09μV,P<0.05)and post-resting stages(3.56±0.81μV vs.6.53±1.13μV,P<0.05)compared to the control group.Additionally,the study group demonstrated significantly higher FSFI scores and total scores(P<0.05).Conclusions:Pelvic floor trigger point release combined with biostimulation feedback therapy can relieve the pain of sexual intercourse and improve the sexual dysfunction of women after vaginal delivery.

关 键 词：筋膜扳机点 生物刺激反馈治疗 顺产 性交痛 

分 类 号：R711.77[医药卫生—妇产科学]