经皮穴位电刺激治疗女性慢性盆腔痛及痛经的初步探讨

发布时间：2018-06-23 16:57

本文选题：经皮穴位电刺激 + 慢性盆腔痛　；参考：《中国妇产科临床杂志》2015年05期

【摘要】：目的探讨经皮穴位电刺激治疗女性慢性盆腔痛及痛经的疗效。方法 52例慢性盆腔痛或痛经患者,每周进行1次经皮穴位电刺激治疗,8次为一疗程。疼痛程度的量化标准采用视觉模拟评分法(visual analogue scoring,VAS),评价治疗前后患者的疼痛评分及生活质量的评分变化,并随访至治疗结束后2个月。结果 52例患者治疗前的疼痛VAS评分为(6.1±1.7)分,高于治疗结束时(3.1±1.3)分、治疗结束后1个月为(3.1±1.1)分及治疗结束后2个月为(3.4±1.0)分,差异有统计学意义(P值分别为0.034、0.045、0.019)。治疗结束时,治愈率15.4%(8/52)、有效率76.9%(40/52)、无效率7.7%(4/52)。治疗结束后1个月,8例治愈的患者中5例再次疼痛,40例治疗有效的患者中1例疼痛进展。治疗结束后2个月患者的疗效与治疗结束后1个月相比无明显变化。无效组患者治疗前的疼痛评分(8.3±2.2)分高于治愈组(5.1±0.8)分及有效组(6.1±1.6)分,差异有统计学意义(P值分别为0.041、0.026)。患者治疗结束后的生活质量评分高于治疗前,差异有统计学意义(P0.05)。所有患者治疗过程中均未出现严重的不良反应。结论经皮穴位电刺激能显著地改善女性慢性盆腔痛或痛经患者的疼痛评分及生活质量评分,且无严重的不良反应。治疗效果与患者治疗前的疼痛评分相关,治疗结束后的长期疗效仍有待探讨。
[Abstract]:Objective to investigate the effect of percutaneous acupoint electrical stimulation on chronic pelvic pain and dysmenorrhea in women. Methods 52 patients with chronic pelvic pain or dysmenorrhea were treated with percutaneous acupoint electrical stimulation once a week for 8 times as a course of treatment. Visual analogue score (visual analogue) was used to evaluate the changes of pain score and quality of life (QOL) before and after treatment. The patients were followed up until 2 months after treatment. Results the VAS score of 52 patients before treatment was (6.1 卤1.7), higher than that at the end of treatment (3.1 卤1.3), and was (3.1 卤1.1) at 1 month after treatment and (3.4 卤1.0) at 2 months after treatment. The difference was statistically significant (P = 0.034, 0.0450.019, respectively). At the end of the treatment, the cure rate was 15.4% (8 / 52), the effective rate was 76.9% (40 / 52), and the ineffective rate was 7.7% (4 / 52). One month after treatment, 5 of 8 cured patients had repain and 1 of 40 effective patients had pain progression. There was no significant difference between 2 months after treatment and 1 month after treatment. The score of pain in the ineffective group (8.3 卤2.2) was higher than that in the cured group (5.1 卤0.8) and the effective group (6.1 卤1.6), the difference was statistically significant (P = 0.041 卤0.026). The quality of life score after treatment was higher than that before treatment, the difference was statistically significant (P0.05). No serious adverse reactions were observed in all patients during the course of treatment. Conclusion Percutaneous acupoint electrical stimulation can significantly improve the score of pain and quality of life of female patients with chronic pelvic pain or dysmenorrhea without serious adverse reactions. The effect of treatment is related to patients' pain score before treatment, and the long-term curative effect remains to be explored after the end of treatment.
【作者单位】：北京大学第三医院妇产科;
【分类号】：R711

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