磁刺激联合手法与手法联合电刺激治疗女性慢性盆腔痛的疗效比较  

Comparison of the effects of magnetic stimulation combined with manual therapy and electrical stimulation combined with manual therapy in the treatment of chronic pelvic pain in women

作　　者：胡道琴[1] 区瑾华 黄小燕 HU Dao-qin;OU Jin-hua;HUANG Xiao-yan(The Maternal and Child Health Care Hospital of Jiangmen,Jiangmen,Guangdong 529000)

机构地区：[1]江门市妇幼保健院,广东江门529000

出　　处：《赣南医科大学学报》2025年第3期240-243,共4页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：江门市科技计划项目(2022YL04003)。

摘　　要：目的:观察磁刺激联合手法与手法联合电刺激治疗女性慢性盆腔痛的疗效。方法:选取48例女性慢性盆腔痛患者,随机分为磁刺激联合手法治疗组和手法联合电刺激治疗组,磁刺激联合手法治疗组予磁刺激治疗后再予手法治疗,手法联合电刺激治疗组予手法治疗后再予电刺激治疗。2组均为每周治疗2次,5次为1个疗程。比较2组患者治疗有效率、主观症状缓解情况及治疗前后疼痛最大数字评定量表(Numerical rating scale,NRS)评分。结果:磁刺激联合手法组治疗显效率高于手法联合电刺激组,差异有统计学意义(P<0.05),2组总有效率比较差异无统计学意义(P>0.05)。2组患者深部性交痛、尿痛或憋尿时疼痛、背痛或坐痛、会阴部坠胀痛的主观症状总有效率均达100%,磁刺激联合手法组与手法联合电刺激组经期痉挛性疼痛总有效率分别为71.4%和85.7%,2组患者治疗后各种主观症状治疗情况比较差异均无统计学意义(P>0.05)。2组患者治疗前、治疗后NRS评分差异无统计学意义(P>0.05);2组患者治疗后疼痛NRS评分均较治疗前明显下降,差异有统计学意义(P<0.001)。结论:磁刺激联合手法治疗以及手法联合电刺激治疗对女性慢性盆腔痛治疗均有肯定的临床疗效。Objective:To compare the effects of magnetic stimulation combined with manual therapy and manual therapy combined with electrical stimulation in the treatment of chronic pelvic pain in women.Methods:A total of 48 female patients with chronic pelvic pain were randomly divided into magnetic stimulation combined with manual therapy group(group A)and manual therapy combined with electrical stimulation group(group B).Both groups were treated with 5 times as a course of treatment,2 times a week.The effective rate of treatment,the relief of subjective symptoms,and the changes in the maximum NRS score of pain mapping before and after treatment were compared between the two groups.Results:The marked therapeutic efficacy of group A was was higher than that of group B,with statistical significance(P<0.05),no significant difference was found in the overall therapeutic efficiency(P>0.05),and statistically significant differences were observed with respect to the apparent efficacy of therapy(P<0.05).There were no significant differences in subjective symptom relief after treatment(P>0.05).Both Group A and Group B demonstrated significant reductions in maximum NRS scores after treatment,with statistical significace(P<0.001),and there was no statistically significant differences in the maximum NRS score of pain mapping between the two groups before and after tretment(P>0.05).Conclusion:Both magnetic stimulation combined with manual therapy and manual therapy integrated with electrical stimulation therapy demonstrate definitive clinical efficacy in the management of chronic pelvic pain among female patients.

关 键 词：慢性盆腔疼痛 磁刺激疗法 电刺激疗法 肌肉骨骼手法 

分 类 号：R711.7[医药卫生—妇产科学]