摘要
目的 通过回顾性分析探究盆底肌电刺激联合肌筋膜手法按摩护理对盆底肌筋膜疼痛患者的影响。方法 回顾性分析2025年7月至2026年2月期间,院内60例盆底肌筋膜疼痛患者病历资料。2025年7月至2025年10月30例患者接受盆底肌电刺激干预,作为对照组。2025年11月至2026年2月的30例患者接受盆底肌电刺激联合肌筋膜手法按摩护理,作为观察组。对比两组疼痛程度及生活质量。结果 干预前两组盆腔疼痛VAS(Visual Analogue Scale )评分、盆底肌筋膜压痛VAS评分及健康调查简表(The MOS Item Short Fromhealth Survey,SF-36)评分对比,P>0.05。干预后观察组盆腔疼痛VAS评分、盆底肌筋膜压痛VAS评分低于对照组,SF-36评分高于对照组,P<0.05。结论 盆底肌电刺激联合肌筋膜手法按摩护理可显著改善患者疼痛程度及生活质量,值得推广与应用。
关键词: 盆底肌筋膜疼痛;盆底肌电刺激;肌筋膜手法按摩;疼痛程度;生活质量
Abstract
Objective To explore the effects of pelvic floor muscle electrostimulation combined with myofascial manual massage nursing on patients with pelvic floor myofascial pain through a retrospective analysis. Methods A retrospective analysis was conducted on the medical records of 60 patients with pelvic floor myofascial pain in the hospital from July 2025 to February 2026. From July to October 2025, 30 patients received pelvic floor muscle electrostimulation intervention as the control group. From November 2025 to February 2026, 30 patients received pelvic floor muscle electrostimulation combined with myofascial manual massage nursing as the observation group. The pain levels and quality of life were compared between the two groups. Results Before intervention, there were no significant differences in the Visual Analog Scale (VAS) scores for pelvic pain, VAS scores for pelvic floor myofascial tenderness, and SF-36 (Short Form Health Survey) scores between the two groups (P > 0.05). After intervention, the observation group showed lower VAS scores for pelvic pain and VAS scores for pelvic floor myofascial tenderness, as well as higher SF-36 scores, compared to the control group (P < 0.05). Conclusion Pelvic floor muscle electrostimulation combined with myofascial manual massage nursing can significantly improve patients' pain levels and quality of life, making it worthy of promotion and application.
Key words: Pelvic floor myofascial pain; Pelvic floor electromyography stimulation; Muscle fascia massage technique; Pain level; Quality of life
参考文献 References
[1] 何芳,黄婷,李茜. 经阴触发点手法松解联合电刺激对盆底肌筋膜疼痛综合征的治疗效果[J].罕少疾病杂志,2025, 32(11):171-174.
[2] 李平,胡友斌. 雷火灸联合手法按摩电刺激治疗产后盆底肌筋膜疼痛综合征的疗效分析[J].中华养生保健, 2024, 42(23):23-27.
[3] 彭显秀,修雪梅,陈文香. 肌筋膜指法放松配合神经肌肉电刺激治疗盆底痛疗效及对盆底肌肌力和并发症的影响[J].中国计划生育学杂志,2024,32(05):1057-1061 +1066.
[4] 李莹莹. 艾灸联合盆底电刺激及阴道内手法治疗盆底肌筋膜疼痛临床观察[J].实用中医药杂志,2024,40(04): 763-765.
[5] 刘冬妹. 生物反馈电刺激治疗仪结合手法按摩对产后盆底肌筋膜疼痛情况的影响[J].黑龙江中医药,2024, 53(02):57-59.
[6] 谭丽,喻意美,肖丛,等. 手法按摩+雷火灸联合电刺激生物反馈治疗盆底肌筋膜疼痛的临床效果研究[J].实用妇科内分泌电子杂志,2024,11(01):7-9.
[7] 侯晓,许建红,王妮,等. 经阴触发点手法松解联合仿生物电刺激治疗女性盆底肌筋膜疼痛综合征疗效观察[J].现代中西医结合杂志,2023,32(20):2803-2808+2884.
[8] 骆黎静,张宇迪,卢丹,等. 改良电刺激模式结合手法按摩治疗产后盆底肌高张的效果分析[J].中国临床医生杂志,2022,50(08):993-996.
[9] 闫树萍,王春珺,李雪洁,等. 盆底肌电刺激联合肌筋膜手法按摩治疗慢性盆腔疼痛的疗效观察[J].北京医学,2022, 44(12):1147-1150.