摘要
目的 探讨体外冲击波联合盆底肌康复训练治疗女性盆底肌筋膜疼痛综合征的效果,为临床诊治本病提供理论参考。方法 选取2023年7月至2025年2月在宁波明州医院治疗的盆底肌筋膜疼痛综合征患者102例,采用随机数字表法分为A组(51例,盆底肌康复训练)、B组(51例,体外冲击波+盆底肌康复训练),两组均治疗4周。比较两组临床疗效以及治疗前后视觉模拟评分法(VAS)评分、女性性功能指数(FSFI)评分、Oswestry功能障碍指数(ODI)评分、盆底肌电评估指标。结果 两组临床总有效率比较,B组更高(P<0.05);与治疗前比较,两组治疗后VAS、ODI评分及前静息电位、前静息变异系数、后静息电位、后静息变异系数均降低,且B组更低,FSFI评分均升高,且B组更高(P<0.05)。结论 女性盆底肌筋膜疼痛综合征患者应用体外冲击波联合盆底肌康复训练治疗效果较好,可有效减轻疼痛程度,改善性功能、盆底功能,并减轻疾病对日常生活的影响。
Objective To investigate the effect of extracorporeal shock wave combined with pelvic floor muscle rehabilitation training in the treatment of female pelvic floor myofascial pain syndrome,and to provide theoretical reference for clinical diagnosis and treatment of this disease.Methods A total of 102 patients with pelvic floor myofascial pain syndrome treated in Ningbo Mingzhou Hospital from July 2023 to February 2025 were selected and divided into group A(51 cases,pelvic floor muscle rehabilitation training)and group B(51 cases,extracorporeal shock wave combined with pelvic floor muscle rehabilitation training)by random number table method.Both groups were treated for 4 weeks.The clinical efficacy,visual analogue scale(VAS)score,female sexual function index(FSFI)score,Oswestry disability index(ODI)score,and pelvic floor electromyography evaluation indexes before and after treatment were compared between the two groups.Results The comparison of the total clinical effective rate between the two groups showed that group B had a higher rate(P<O.05).Compared with before treatment,VAS and ODI scores,preresting potential,pre-resting coefficient of variation,post-resting potential and post-resting coefficient of variation were decreased after treatment in the two groups,and those in group B were lower,and FSFI score was increased after treatment in the two groups,and group B was higher(P<O.05).Conclusion Extracorporeal shock wave combined with pelvic floor muscle rehabilitation training has a good effect on female patients with pelvic floor myofascial pain syndrome,which can effectively reduce the degree of pain,improve sexual function and pelvic floor function,and reduce the impact of the disease on daily life.
作者
徐佳玲
徐颖颖
周婷
XU Jialing;XU Yingying;ZHOU Ting(Department of Gynecology,Ningbo Mingzhou Hospital,Zhejiang Province,Ningbo 315199,China;Department of Maternal and Pelvic Rehabilitation,Ningbo Mingzhou Hospital,Zhejiang Province,Ningbo 315199,China)
出处
《妇儿健康导刊》
2026年第1期37-40,共4页
Journal of Women and Children's Health Guide
基金
浙江省宁波市鄞州区农业与社会发展科技项目(2023AS068)。
关键词
盆底肌筋膜疼痛综合征
体外冲击波
盆底肌康复训练
疼痛
性功能
盆底功能
Pelvic floor myofascial pain syndrome
Extracorporeal shock wave
Pelvic floor muscle rehabilitation training
Pain
Sexual function
Pelvic floor function
