[电针对盆腔炎后遗症患者慢性盆腔痛的镇痛作用]
[Analgesic effect of electroacupuncture on chronic pelvic pain in patients with sequelae of pelvic inflammatory disease].
作者信息
Liang Zhuo, Wang Xin, Liu Ying-Hua, Zhang Dong-Mei, Shi Ling
机构信息
Department of Obstetrics and Gynecology, Affiliated Hospital of Liaoning University of TCM, Shenyang 110032, China.
Department of Gynecology, Fushun Hospital of TCM.
出版信息
Zhongguo Zhen Jiu. 2021 Apr 12;41(4):395-9. doi: 10.13703/j.0255-2930.20200329-k0003.
OBJECTIVE
To observe the effect of electroacupuncture (EA) on chronic pelvic pain in patients with sequelae of pelvic inflammatory disease.
METHODS
A total of 144 patients with chronic pelvic pain were randomly divided into an observation group (72 cases, 10 cases dropped off) and a control group (72 cases, 9 cases dropped off). The patients in the control group were treated with ibuprofen sustained-release capsules 10 days before menstruation, 0.3 g each time, once a day. On the basis of the treatment of the control group, the patients in the observation group were treated with EA at Guanyuan (CV 4), Shuidao (ST 28), Guilai (ST 29), Shenshu (BL 23) and Ciliao (BL 32), disperse-dense wave, 2 Hz/15 Hz of frequency, once a day. The patients in both groups were treated for 10 days per menstrual cycle for 3 menstrual cycles. The visual analogue scale (VAS) scores of lower abdomen and lumbosacral area, local sign score, quality of life scale score and pain disappearance rate were compared between the two groups before and after treatment.
RESULTS
The VAS scores of lower abdomen and lumbosacral area as well as each item score and total score of local signs in the observation group after treatment were significantly lower than those before treatment and those in the control group (<0.05). Compared before treatment, the scores of physiological, psychological, social and environmental domains of the quality of life scale in the observation group were significantly increased after treatment (<0.05); the score of physiological domain in the control group after treatment was significantly higher than that before treatment (<0.05); the score of physiological domain in the observation group was higher than that in the control group (<0.05). The pain disappearance rate was 87.1% (54/62) in the observation group, which was higher than 46.0% (29/63) in the control group (<0.05).
CONCLUSION
EA can relieve the pain symptoms in patients with chronic pelvic pain and improve their quality of life.
目的
观察电针（EA）对盆腔炎后遗症患者慢性盆腔疼痛的影响。
方法
将144例慢性盆腔疼痛患者随机分为观察组（72例，脱落10例）和对照组（72例，脱落9例）。对照组患者在月经前10天服用布洛芬缓释胶囊，每次0.3 g，每日1次。在对照组治疗的基础上，观察组患者采用电针针刺关元（CV 4）、水道（ST 28）、归来（ST 29）、肾俞（BL 23）和次髎（BL 32），疏密波，频率2 Hz/15 Hz，每日1次。两组患者均每个月经周期治疗10天，共治疗3个月经周期。比较两组治疗前后下腹及腰骶部视觉模拟量表（VAS）评分、局部体征评分、生活质量量表评分及疼痛消失率。
结果
观察组治疗后下腹及腰骶部VAS评分以及局部体征各条目评分和总分均显著低于治疗前及对照组（<0.05）。与治疗前比较，观察组治疗后生活质量量表生理、心理、社会及环境领域评分均显著升高（<0.05）；对照组治疗后生理领域评分显著高于治疗前（<0.05）；观察组生理领域评分高于对照组（<0.05）。观察组疼痛消失率为87.1%（54/62），高于对照组的46.0%（29/63）（<0.05）。
结论
电针可缓解慢性盆腔疼痛患者的疼痛症状，提高其生活质量。
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