经皮神经电刺激联合康复消炎栓治疗慢性盆腔疼痛综合征效果

Therapeutic effect of percutaneous nerve electrical stimulation combined with Kangfuxiaoyan suppository for treating patients with chronic pelvic pain syndrome

目的:分析经皮神经电刺激(TENS)联合康复消炎栓治疗慢性盆腔疼痛综合征(CPPS)效果。方法:收集2017年2月-2020年9月本院妇科收治的CPPS患者108例,按照随机数字法分为对照组及观察组,对照组给予TENS治疗,观察组给予TENS联合康复消炎栓治疗,比较肛提肌超声指数、疼痛评分(VAS)及疼痛缓解程度的差异。结果:治疗后肛提肌裂孔前后径、肛提肌裂孔横径、肛提肌裂孔面积两组均提高且观察组高于对照组,VAS评分两组均降低且观察组低于对照组(均P<0.05),疼痛总缓解率两组无差异但观察组缓解程度优于对照组(P<0.05)。治疗前VAS≤5分患者,治疗后肛提肌裂孔前后径、肛提肌裂孔横径、肛提肌裂孔面积观察组与对照组无差异,VAS评分及疼痛缓解程度构成比无差异(均P>0.05);治疗前VAS>5分患者,治疗后肛提肌裂孔前后径、肛提肌裂孔横径、肛提肌裂孔面积观察组均高于对照组,VAS评分观察组低于对照组(P<0.05)。结论:TENS联合康复消炎栓治疗CPPS效果优于单纯TENS,且疼痛症状严重的患者治疗效果更佳。

Objective:To analyze the effect of transcutaneous electrical nerve stimulation(TENS)combined with Kangfuxiaoyan suppository for treating patients with chronic pelvic pain syndrome(CPPS).Methods:According to the principle of random number,108 patients with CPPS were divided two groups from February 2017 to September 2020.The patients in the control group were treated with TENS,while the patients in the observation group were treated with TENS combined with Kangfuxiaoyan suppository.The values of ultrasonic index on musculus levator ani,the pain VAS score,and the different pain relief degree of the patients were compared between the two groups.Results:After treatment,the anterior and posterior diameter,the transverse diameter,and the area of the levator ani hiatus of the patients in the two groups had increased significantly,and which of the patients in the observation group was significantly higher than those of the patients in the control group.The VAS score of the patients in the two groups had decreased significantly,and which of the patients in the observation group was significantly lower than those of the patients in the control group(all P<0.05).There was no significant difference in the total pain relief rate of the patients between the two groups,but the relief degree of the patients in the observation group was significantly better than that of the patients in the control group(P<0.05).For the patients with VAS score≤5 points before treatment,there were no significant differences in the anterior and posterior diameter,the transverse diameter,and the area of the levator ani hiatus of the patients between the two groups,and there were no significant differences in VAS score and relief degree of pain of the patients between the two groups(all P>0.05).For the patients with VAS score>5 points before treatment,the anterior and posterior diameter,the transverse diameter,and the area of the levator ani hiatus of the patients in the observation group were significantly higher than those of the patients in the control group after treatment,while the VAS score of the patients in the observation group was significantly lower(P<0.05).Conclusion:The therapeutic effect of TENS combined with Kangfuxiaoyan suppository for treating patients with CPPS is better than that of TENS only,especially for those patients with severe pain symptoms.