自拟活血止痛汤联合电刺激对女性气虚血瘀型慢性盆腔痛患者疼痛及盆腔功能障碍的影响

Effect of self-made Decoction for activating blood to relieve pain combined with electrical stimulation on pain and pelvic dysfunction in female patients with chronic pelvic pain of type of Qi deficiency and blood stasis

目的观察自拟活血止痛汤联合电刺激对女性气虚血瘀型慢性盆腔痛患者疼痛及盆腔功能障碍的影响。方法将2016年1月—2019年1月在西安交通大学第一附属医院治疗的86例慢性盆腔痛患者随机分为2组,对照组给予生物反馈电刺激治疗,观察组在对照组治疗基础上给予自拟活血止痛汤治疗,连续治疗3个月经周期,对比2组临床症状积分(下腹疼痛、腰骶疼痛、带下异常、劳累等后加重、神疲乏力)、视觉模拟疼痛评分(VAS)、临床疗效、盆腔功能障碍总发生率及随访3个月复发情况。结果与治疗前比较,2组治疗后下腹疼痛积分、腰骶疼痛积分、带下异常积分、劳累等后加重积分、神疲乏力积分均明显降低(P均<0.05),且观察组均明显低于对照组(P均<0.05);与治疗前比较,2组治疗4周、8周及3个月后的VAS评分均呈不断降低趋势(P均<0.05),且观察组治疗4周、8周及3个月后的VAS评分均明显低于同期对照组(P均<0.05);观察组治疗后总有效率为93.0%(40/43),明显高于对照组的74.4%(32/43),差异有统计学意义(χ^2=5.460,P<0.05);观察组治疗后盆底功能障碍总发生率为2.3%(1/43),明显低于对照组的20.9%(9/43),差异有统计学意义(χ^2=7.424,P<0.05);观察组远期复发率为3.1%(1/32),明显低于对照组的25.0%(5/20),差异有统计学意义(χ^2=5.770,P<0.05)。结论自拟活血止痛汤联合电刺激治疗气虚血瘀型慢性盆腔痛疗效确切,能够显著缓解患者盆腔疼痛等不适症状,改善盆腔功能障碍,减少远期复发。

Objective It is to observe the effect of self-made Decoction for activating blood to relieve pain combined with electrical stimulation on pain and pelvic dysfunction in female patients with chronic pelvic pain of type of Qi deficiency and blood stasis.Methods 86 patients with chronic pelvic pain treated in the First Affiliated Hospital of Xi’an Jiaotong University from January 2016 to January 2019 were randomly divided into 2 groups.The control group was treated with biofeedback electrical stimulation,and the observation group was treated with self-made Decoction for activating blood based on the treatment of the control group.Both groups were treated for 3 menstrual cycles.The clinical symptom scores(lower abdominal pain,lumbosacral pain,abnormal leucorrhea,worsening after fatigue,fatigue),visual analog pain score(VAS),clinical efficacy,total incidence of pelvic dysfunction and recurrence after 3 months of follow-up were compared between the two groups.Results Compared with before treatment,the scores of lower abdominal pain,lumbosacral pain,abnormal leucorrhea,worsening after fatigue,fatigue of the two groups were significantly reduced after treatment(P<0.05),and the scores in the observation group were significantly lower than those in the control group(P<0.05).Compared with before treatment,the VAS scores of the 2 groups after 4 weeks,8 weeks and 3 months of treatment showed a decreasing trend(P<0.05),and the VAS scores in the observation group after 4 weeks,8 weeks and 3 months of treatment were significantly lower than those in the control group at the same time(P<0.05).The total effective rate after treatment in the observation group was 93.0%(40/43),which was significantly higher than that 74.4%(32/43)in the control group(χ^2=5.460,P<0.05);the total incidence of pelvic floor dysfunction in the observation group after treatment was 2.3%(1/43),which was significantly lower than that 20.9%(9/43)in the control group(χ^2=7.424,P<0.05).The long-term recurrence rate in the observation group was 3.1%(1/32),which was significantly lower than that 25.0%(5/20)in the control group(χ^2=5.770,P<0.05).Conclusion Self-made Decoction for activating blood to relieve pain combined with electrical stimulation is effective in treating chronic pelvic pain of type of Qi deficiency and blood stasis.It can significantly alleviate patients’pelvic pain and other discomfort symptoms,improve pelvic dysfunction and reduce long-term recurrence.