肌筋膜手法治疗外阴痛的疗效

Efficacy of manipulation therapy in treatment of vulvodynia

目的探讨肌筋膜手法对外阴痛的治疗疗效。方法选取温州市人民医院2018年5月-2020年4月收治的52例外阴痛患者为研究组,50例健康妇女为对照组,通过检查评估两组研究对象肌力等级、外阴部肌肉触痛点及其疼痛严重程度;患者经过1疗程(2次/周,共10次)手法治疗后,通过对比治疗前后的外阴部肌肉疼痛点个数、疼痛评分变化,分析手法治疗的有效性。结果外阴痛主要症状往往以外阴痛、性交痛为主,共占75.00%;患者往往存在多个触痛点,占69.23%。研究组与对照组肌力等级、肌肉疼痛点个数及疼痛评分的比较,差异均有统计学意义(均P<0.05);患者治疗前后盆底肌肌力、肌肉疼痛点个数、疼痛评分的比较,差异均有统计学意义(均P<0.05)。结论肌筋膜手法治疗是外阴痛患者确实有效的治疗方法,值得临床进一步推广。

Objective Investigate the therapeutic effect of myofascial manipulation on vulvodynia.Methods A Total of 52 patients with vulvodynia diagnosed were selected as the study group,A Total of 50 healthy women were selected as the control group in the same period.The muscle strength level,trigger points,and pain severity of the two groups were assessed by examination.After 1 course of manipulative treatment in vulvodynia patients,the affectiveness of manipulative treatment was analyzed by comparing the changes of munber of trigger points and pian scores before and after treatment.Results The main symptoms of vulvodynia are pain in vulvar pain,or dyspareunia,accounting for 75.00%in total,and patiants often have multiple trigger points,accounting for 69.23%.There were statistically significant differences between the study group and the control group in terms of pelvic floor muscle strength,munber of trigger points and pian score,which were also statistically significant before and after treatment.Conclusion Manipulative therapy is an effective treatment for vulvodynia patients and is worthy of futher clinic prmotion.