Lamina Sikiru, Hanif Shmaila, Gagarawa Yusuf Saidu
Biomedical Technology Department, School of Health Technology, Federal University of Technology, Owerri, Nigeria.
Physiother Res Int. 2011 Mar;16(1):50-6. doi: 10.1002/pri.473.
Chronic pelvic inflammatory disease (PID) refers to both residue of acute and sub-acute recurrence of a previous infection or/and as a result of late detection of and intervention for upper tract pelvic infection. Owing to the chronic nature of the disease, which may require large doses of analgesics and/or antibiotics both of which may have side effects on the body, there is a need for a non-invasive therapeutic and symptomatic chronic pain management. The main purpose of this study was to determine the efficacy of short wave diathermy (SWD) in the symptomatic management of chronic PID pain.
An independent group; double blind random assignment design was used in data collection. A total of 32 subjects diagnosed as chronic PID patients referred for physiotherapy were randomly assigned to three (SWD, control and analgesic) groups. The SWD group received antibiotics, placebo (sham analgesic) tablets and SWD using the crossfire technique for an average of 15 exposures lasting for 20 minutes on alternate days of the week. Other groups; Analgesic group received antibiotics, Analgesics and sham SWD; while the control group received antibiotics, sham SWD and placebo tablets. The study lasted for a period of 30 days.
Findings of the study revealed significant effect of SWD over analgesic and control in pain responses and resolution of inflammation at p < 0.05.
It was concluded that SWD may be an effective and non invasive therapy in the management of chronic PID pain.
慢性盆腔炎（PID）指先前感染的急性和亚急性残留，或/及因上生殖道盆腔感染发现及干预不及时所致。由于该病具有慢性特征，可能需要大剂量的镇痛药和/或抗生素，而这两者都可能对身体产生副作用，因此需要一种非侵入性的治疗方法及对症慢性疼痛管理。本研究的主要目的是确定短波透热疗法（SWD）对慢性盆腔炎疼痛进行对症治疗的疗效。
数据收集采用独立组双盲随机分配设计。共有32名被诊断为慢性盆腔炎的患者被转诊接受物理治疗，他们被随机分为三组（短波透热疗法组、对照组和镇痛药组）。短波透热疗法组接受抗生素、安慰剂（假镇痛药）片，并采用交叉火力技术进行短波透热疗法，平均每周隔日进行15次照射，每次持续20分钟。其他组：镇痛药组接受抗生素、镇痛药和假短波透热疗法；而对照组接受抗生素、假短波透热疗法和安慰剂片。研究持续30天。
研究结果显示，在疼痛反应和炎症消退方面，短波透热疗法组与镇痛药组及对照组相比，差异具有统计学意义（p < 0.05）。
得出的结论是，短波透热疗法可能是治疗慢性盆腔炎疼痛的一种有效且非侵入性的疗法。
