de Oliveira Bernardes Nicole, Bahamondes Luis
Department of Obstetrics and Gynecology, School of Medicine, Universidade Estadual de Campinas, Campinas, SP, Brazil.
J Reprod Med. 2005 Apr;50(4):267-72.
To evaluate the efficacy of intravaginal electrical stimulation in women with chronic pelvic pain (CPP).
Between May 2002 and February 2004, 24 women with CPP with no apparent cause were evaluated. They underwent 10 sessions of intravaginal electrical stimulation. A program for measuring chronic diffuse pain, with a frequency of 8 Hz, variation in intensity and frequency, pulse length of 1 msec, and adjustment to the bearable intensity of each individual patient (in milliamps) was utilized. Treatment consisted of 30-minute applications, 2 or 3 times per week, and the pain was evaluated using a visual analog scale before and after each session and immediately after completion of the total treatment. The women were asked to evaluate the pain 2 weeks, 4 weeks and 7 months following the end of treatment.
Intravaginal electrical stimulation was effective in alleviating pain in women with CPP, as evaluated at the end of treatment and 2 weeks, 4 weeks and 7 months after completion of treatment (p<0.05). There were significantly fewer complaints of dyspareunia following treatment (p = 0.0005).
Intravaginal electrical stimulation is effective in the alleviation of pain in women with CPP.
评估阴道内电刺激对慢性盆腔疼痛（CPP）女性患者的疗效。
在2002年5月至2004年2月期间，对24名无明显病因的CPP女性患者进行了评估。她们接受了10次阴道内电刺激治疗。采用了一个用于测量慢性弥漫性疼痛的程序，频率为8赫兹，强度和频率可变，脉冲长度为1毫秒，并根据每个患者的耐受强度（以毫安为单位）进行调整。治疗包括每次30分钟的应用，每周2或3次，并在每次治疗前后以及整个治疗完成后立即使用视觉模拟量表评估疼痛程度。还要求这些女性在治疗结束后2周、4周和7个月对疼痛情况进行评估。
在治疗结束时以及治疗完成后2周、4周和7个月进行评估时，阴道内电刺激对缓解CPP女性患者的疼痛有效（p<0.05）。治疗后性交困难的主诉明显减少（p = 0.0005）。
阴道内电刺激对缓解CPP女性患者的疼痛有效。
