摘要
目的 观察理筋手法联合磁刺激治疗盆底肌筋膜疼痛综合征(MPPS)的临床疗效。方法 选取符合MPPS诊断标准的108例患者作为研究对象,所有受试者首先经随机数字表法分为观察组和对照组,每组54例。在后续干预中,观察组出现2例因未按疗程治疗脱落;对照组1例未按照疗程治疗脱落, 1例完成治疗后失访脱落,因此最终每组52例。观察组采用理筋手法+磁刺激治疗,对照组采用磁刺激治疗。比较两组患者治疗前后盆底肌筋膜触诊视觉模拟评分法(VAS)评分、治疗前后静息电位、治疗效果、复发率。结果 治疗后,两组患者VAS评分较治疗前显著下降,其中观察组评分降至(1.21±1.19)分,降幅显著大于对照组的(2.00±0.86)分(P<0.05)。治疗后,两组患者前、后静息电位较治疗前显著降低,且观察组前静息电位(3.98±1.89)μV、后静息电位(5.13±3.58)μV优于对照组的(5.46±4.30)、(6.79±3.38)μV(P<0.05)。观察组的治疗总有效率96.15%高于对照组的78.84%(P<0.05)。在为期1个月的随访期间,观察组复发率11.54%显著低于对照组的28.85%(P<0.05)。结论 理筋手法联合磁刺激是治疗MPPS的有效方法 ,可明显减轻MPPS患者的疼痛症状,改善盆底肌筋膜高张状态,降低复发率。
Objective To investigate the clinical efficacy of Lijin manipulation combined with magnetic stimulation for managing myofascial pelvic pain syndrome(MPPS).Methods A total of 108 eligible patients with MPPS were enrolled and assigned to either an observation group or a control group using a random number table,each with 54 cases.During follow-up interventions,2 patients in the observation group dropped out due to non-compliance with the treatment regimen.In the control group,1 patient dropped out for non-compliance with the treatment regimen,and another was lost to follow-up after completing treatment,with each group ultimately comprising 52 cases.The observation group received Lijin manipulation+magnetic stimulation,and the control group received magnetic stimulation.The two groups were compared regarding visual analogue scale(VAS)score for pelvic floor myofascial palpation before and after treatment,resting membrane potential before and after treatment,treatment efficacy,and recurrence rate.Results After treatment,the VAS scores of the two groups of patients were significantly lower than those before treatment,and the decrease in the VAS score of the observation group[(1.21±1.19)points]was significantly greater than that of the control group[(2.00±0.86)points](P<0.05).After treatment,the pre-and post-resting potentials of the two groups of patients were significantly lower than those before treatment.Moreover,the pre-resting potential(3.98±1.89)μV and post-resting potential(5.13±3.58)μV in the observation group were better than those in the control group[(5.46±4.30)and(6.79±3.38)μV](P<0.05).Furthermore,the total effective rate was significantly higher in the observation group(96.15%)than in the control group(78.84%)(P<0.05).During the one-month follow-up period,the recurrence rate was significantly lower in the observation group(11.54%)compared to the control group(28.85%)(P<0.05).Conclusion The combined treatment of Lijin manipulation and magnetic stimulation is an effective method for treating MPPS,which can significantly alleviate the pain symptoms of MPPS patients,improve the high tension state of pelvic floor myofascia,and reduce the recurrence rate.
作者
刘庆燕
张引民
陈占翠
汪倩倩
郭海龙
LIU Qing-yan;ZHANG Yin-min;CHEN Zhan-cui(People's Hospital of Rizhao,Rizhao 276800,China)
出处
《中国现代药物应用》
2026年第4期12-16,共5页
Chinese Journal of Modern Drug Application
基金
2023年度日照市中医药科技项目(项目编号:RZY2023C01)。
关键词
盆底肌筋膜疼痛综合征
经筋病
理筋手法
磁刺激
Myofascial pelvic pain syndrome
Meridian disease
Lijin manipulation
Magnetic stimulation
