电刺激对女性慢性盆腔痛疗效和性功能及生活质量影响的研究

Impact of electrical stimulation on the treatment of female chronic pelvic pain and the influence on sexual function and quality of life

目的:探讨电刺激对女性慢性盆腔痛疼痛和生活质量包括性生活的治疗效果。方法:选取2014年10月至2015年8月于武汉大学人民医院妇产科就诊的慢性盆腔痛患者124例,接受电刺激治疗,每次30min,每星期2次,共10次。治疗前后行疼痛评分(VAS)、女性性功能指数(FSFI)和世界卫生组织生活质量简表(WHOQOL-BREF)问卷调查。结果:患者分为慢性盆腔炎组、子宫内膜异位症组和盆腔静脉淤血组,电刺激治疗后慢性盆腔炎组37人完全缓解,11人部分缓解,5人无效,完全缓解率、部分缓解率和无效率分别为69.8%、20.8%、9.4%,VAS评分为(2.375±0.479)(P=0.005),FSFI评分较治疗前提高,为(29.500±1.291)(P=0.005)。子宫内膜异位症组32人完全缓解,10人部分缓解,4人无效,完全缓解率、部分缓解率和无效率分别为69.6%、21.7%、8.7%,VAS评分为(2.550±0.420)(P=0.000),FSFI为(26.450±1.256)(P=0.002)。盆腔静脉淤血组13人完全缓解,6人部分缓解,2人无效,完全缓解率、部分缓解率和无效率分别为61.9%、28.6%、9.5%,VAS评分为(2.600±0.365)(P=0.000),FSFI为(27.700±1.447)(P=0.007)。生活质量方面,三组患者在生理领域、心理领域、社会关系领域评分均较治疗前提高,且有统计学意义,但在环境领域方面,盆腔炎症组和子宫内膜异位症组与治疗前相比有所提高,但无统计学意义。结论:电刺激是短期内治疗慢性盆腔痛,提高患者性生活及生活质量较好的方法,其长期疗效尚有待研究。

Objectives： To investigate the effect of electrical stimulation in the treatment of female chronic pelvic pain and the female sexual function as well as quality of life. Methods： 124 cases of female chronic pelvic pain were selected for the treatment of electrical stimulation. The patients treated for 30 min each time a twice a week,for a total of 10 times. At the end of treatment,the patients were compared in the relief of chronic pelvic pain,pain visual analogue scale,female sexual function index（ FSFI）,the quality of life（ WHOQOL- BREF） before and after treatment. Results： The patients were divided into three groups according to the pathogeny. After treatment,in the chronic pelvic inflammation group,37 patients had complete pain relief,11 patients had partial remission and 5 patients had ineffective treatment. The rate of complete remission,partial remission rate and efficiency were 69. 8%,20. 8%,9. 4%,respectively. In the endometriosis group,32 patients had complete pain relief,10 patients had partial remission and 4 patients had ineffective treatment. The rate of complete remission,partial remission rate and efficiency were 69. 6%,21. 7%,8. 7%,respectively. In the pelvic congestion syndrome group,13 patients had complete pain relief,6 patients had partial remission and 2 patients had ineffective treatment. The rate of complete remission,partial remission rate and efficiency were 61. 9%,28. 6%,9. 5%,respectively. All the three groups afterment,pain visual analogue scale were decrease,the scale were（ 2. 375 ± 0. 479）（ P = 0. 005）,（ 2. 550 ±0. 420）（ P = 0. 000）,（ 2. 600 ± 0. 365）（ P = 0. 000）,respectively. Also,the female sexual function index were increased,the scale were（ 29. 500 ± 1. 291）（ P = 0. 005）,（ 26. 450 ± 1. 256）（ P = 0. 002）,（ 27. 700 ± 1. 447）（ P = 0. 007）,respectively. In the field of physiology,psychology and social sphere,the three groups all had higher scores after treatment. In the field of environment,the groups of chronic pelvic inflammation and endometriosis had higher scores,but the results were not statistically significant. Conclusion： Electrical stimulation is an effective way in the treatment of chronic pelvic pain and can improve the quality of life as well as the sexual life in the short time.