Bassaly Renee, Tidwell Natalie, Bertolino Siobhan, Hoyte Lennox, Downes Katheryne, Hart Stuart
Department of Obstetrics and Gynecology, University of South Florida, 2 Tampa General Circle, 6th floor, Tampa, FL 33606, USA.
Int Urogynecol J. 2011 Apr;22(4):413-8. doi: 10.1007/s00192-010-1301-3. Epub 2010 Oct 26.
The objectives of this study are to investigate myofascial pain in patients with interstitial cystitis (IC) and to correlate myofascial exam findings with validated questionnaires.
A retrospective chart review was performed on 186 patients with a diagnosis of IC from April 2007 to December 2008. Demographics, history and physical examination, and validated pelvic floor dysfunction questionnaire scores were extracted. The data was evaluated with SPSS for Windows using Spearman's rho, Mann-Whitney, and Kruskal-Wallis statistical analyses.
Myofascial pain was demonstrated in 78.3% of IC patients with at least one myofascial trigger point, and 67.9% of patients had numerous areas of trigger points. Mild correlations were seen with trigger points and scores from the PUF, PFDI-20, and PFIQ-7 questionnaires.
Myofascial pain is prevalent among IC patients and positively correlated with pelvic floor dysfunction scores. These findings support evaluation of pelvic floor myofascial pain in IC patients and suggest a possible benefit from pelvic floor therapy.
本研究的目的是调查间质性膀胱炎（IC）患者的肌筋膜疼痛，并将肌筋膜检查结果与经过验证的问卷相关联。
对2007年4月至2008年12月期间诊断为IC的186例患者进行回顾性病历审查。提取人口统计学、病史和体格检查以及经过验证的盆底功能障碍问卷评分。使用SPSS for Windows软件，通过Spearman秩相关、Mann-Whitney和Kruskal-Wallis统计分析对数据进行评估。
78.3%的IC患者存在肌筋膜疼痛，至少有一个肌筋膜触发点，67.9%的患者有多个触发点区域。触发点与PUF、PFDI-20和PFIQ-7问卷评分之间存在轻度相关性。
肌筋膜疼痛在IC患者中普遍存在，且与盆底功能障碍评分呈正相关。这些发现支持对IC患者进行盆底肌筋膜疼痛评估，并提示盆底治疗可能有益。
