磁治疗联合肌筋膜手法按摩治疗慢性盆腔痛的疗效分析

Effect of myofascial massage combined with magnetic therapy on chronic pelvic pain

目的探讨磁治疗联合肌筋膜手法按摩治疗慢性盆腔痛的临床疗效。方法选取66例慢性盆腔痛患者,均采用磁治疗联合肌筋膜手法按摩治疗,比较治疗前后盆底肌筋膜疼痛缓解、盆底Glazer肌电评估变化情况。结果66例患者经过4~8次治疗,平均(4.64±1.38)次。患者治疗后泌尿疼痛、盆底肌肉压痛、膀胱疼痛视觉模拟评分法(VAS)评分分别为(3.56±1.62)、(2.39±0.74)、(3.18±1.53)分,均明显低于治疗前的(7.82±1.55)、(7.24±0.82)、(6.47±1.22)分,差异有统计学意义(P<0.05)。治疗后盆底前、后静息电位值较治疗前明显下降,差异有统计学意义(P<0.05)。结论肌筋膜手法按摩联合磁治疗是有效缓解慢性盆腔痛的有效方法。

Objective To investigate the efficacy of magnetic therapy combined with myofascial manipulation massage in the treatment of chronic pelvic pain.Methods 66 patients with chronic pelvic pain were treated with magnetic therapy combined with myofascial massage.The pain relief of pelvic floor myofascial pain and the changes of pelvic floor Glazer electromyography were compared before and after treatment.Results 66 patients were treated 4 to8 times,with an average of(4.64±1.38)times.The visual analogue scale(VAS)scores of urinary pain,pelvic floor muscle tenderness and bladder pain after treatment were(3.56±1.62),(2.39±0.74),(3.18±1.53),respectively.Significantly lower than before treatment(7.82±1.55),(7.24±0.82),(6.47±1.22),the difference was statistically significant(P<0.05).After treatment,the resting potential before and after pelvic floor decreased significantly compared with that before treatment,and the difference was statistically significant(P<0.05).Conclusion Myofascial massage combined with magnetic therapy is an effective method to alleviate chronic pelvic pain.