电针八髎穴联合阴道手法治疗产后盆底肌筋膜疼痛的疗效观察

Clinical Observation on Postpartum Pelvic Floor Myofascial Pain by Electroacupuncture at Baliao Combined with Vaginal Manipulation

目的:探讨电针八髎穴联合阴道手法治疗产后盆底肌筋膜疼痛的临床疗效。方法:收集105例产后盆底肌筋膜疼痛患者为研究对象,根据随机数字表法,分为观察组35例、对照组35例及空白对照组35例,观察组予电针八髎穴+阴道手法治疗,对照组予盆底电刺激治疗,空白对照组不予任何处理。比较3组患者治疗前后盆底肌压痛NAS评分、盆底肌力和NAS评分下降≥50%所需次数及临床疗效。结果:治疗后观察组患者NAS评分低于对照组与空白对照组(P<0.05),其中对照组NAS评分低于空白对照组(P<0.05),1个月后复查,疼痛未复发。观察组患者NAS评分下降≥50%所需次数少于对照组(P<0.05);观察组患者盆底肌力分级高于对照组与空白对照组(P<0.05),其中对照组盆底肌力分级高于空白对照组(P<0.05)。观察组总有效率高于对照组(P<0.05)。结论:电针八髎穴联合阴道手法治疗产后盆底肌筋膜触发点疼痛疗效显著。

Objective:To investigate the clinical effect of electroacupuncture at Baliao combined with vaginal manipulation in the treatment of postpartum pelvic floor myofascial pain.Methods:A total of 105 patients with postpartum pelvic floor myofascial pain were collected as the research objects.According to the random number table method,the patients were divided into observation group(n=35),control group(n=35)and blank control group(n=35).The observation group was treated with electroacupuncture at Baliao combined with vaginal manipulation.The control group was treated with pelvic floor electrical stimulation,and the blank control group was not treated with any treatment.The pelvic floor muscle tenderness NAS score and pelvic floor muscle strength before and after treatment and the required number of times for NAS score decreasing≥50%,as well as clinical efficiency were compared among the 3 groups.Results:After treatment,the observation group showed lower NAS score than control group and blank control group(P<0.05),and the control group showed lower NAS score than blank control group(P<0.05).Reexamination one month later showed no recurrence.The number of times required for NAS score to decrease≥50%in the observation group was less than that in the control group(P<0.05).The observation group showed higher pelvic floor muscle strength than control group and blank control group(P<0.05),and the control group showed higher pelvic floor muscle strength than blank control group(P<0.05).The observation group showed higher total effective rate than control group(P<0.05).Conclusion:Electroacupuncture at Baliao combined with vaginal manipulation shows significant therapeutic effect on postpartum pelvic floor myofascial pain.