脉管内平滑肌刺激联合电刺激治疗产后盆底肌筋膜疼痛综合征疗效分析

史金禾; 李龙卫; 曲学玲; 刘世佳; 韩璐

doi:10.19538/j.fk2025100118

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中国实用妇科与产科杂志 ›› 2025, Vol. 41 ›› Issue (10) : 1044-1048. DOI: 10.19538/j.fk2025100118

论著

脉管内平滑肌刺激联合电刺激治疗产后盆底肌筋膜疼痛综合征疗效分析

史金禾 ¹^,² ,
李龙卫 ¹^,² ,
曲学玲 ¹ ,
刘世佳 ² ,
韩璐 ¹

作者信息 +

Analysis of the efficacy of intravascular smooth muscle stimulation combined with electrical stimulation in the treatment of postpartum pelvic floor myofascial pain syndrome

SHI Jin-he ¹^,² ,
LI Long-wei ¹^,² ,
QU Xue-ling ¹ ,
LIU Shi-jia ² ,
HAN Lu ¹

Author information +

文章历史 +

摘要

目的探讨脉管内平滑肌刺激（CMLV）联合传统电刺激治疗产后盆底肌筋膜疼痛综合征（MPPS）的疗效。方法选取2023年6月至2024年12月大连市妇女儿童医疗中心（集团）盆底泌尿康复中心收治的产后MPPS患者120例，随机分为生活方式指导组、传统电刺激治疗组、联合电刺激治疗组，每组40例。比较治疗前后盆底肌筋膜压痛视觉模拟（VAS）评分、疼痛相关临床症状、盆底肌力及电生理指标、总有效率等。结果 3组患者治疗前盆底肌筋膜压痛VAS评分、疼痛相关临床症状、盆底肌力及电生理指标比较差异无统计学意义（P>0.05）。治疗后的各项指标均有所改善，联合组改善更明显，差异有统计学意义（P<0.05）；联合电刺激组总体有效率高于传统电刺激组及生活方式指导组，差异有统计学意义（P<0.05）。治疗过程中仅少数患者出现轻度酸痛或眩晕，经调整电流强度后缓解，无严重不良事件。结论 CMLV联合传统电刺激治疗产后MPPS的疗效安全可靠，能够有效减轻患者盆底肌疼痛，改善疼痛相关临床症状，降低盆底肌疲劳度，提高盆底肌力及自主收缩能力，改善盆腹协调性，值得在临床推广应用。

Abstract

Objective To investigate the efficacy of intravascular smooth muscle stimulation combined with traditional electrical stimulation in the treatment of postpartum myofascial pelvic pain syndrome (MPPS). Methods A total of 120 postpartum MPPS patients admitted to the Pelvic Floor and Urological Rehabilitation Center of Dalian Women and Children's Medical Center (Group) from June 2023 to December 2024 were randomly divided into a lifestyle guidance group，a traditional electrical stimulation group，and a combined electrical stimulation group，with 40 patients in each group. The visual analog scale score for pelvic floor myofascial tenderness，pain-related clinical symptoms，pelvic floor muscle strength，pelvic floor electrophysiological parameters and overall effective rate were compared before and after treatment. Results There were no significant differences in the VAS scores for pelvic floor myofascial tenderness，pain-related clinical symptoms，pelvic floor muscle strength or pelvic floor electrophysiological parameters among the three groups before treatment (P>0.05). After treatment，the aforementioned indicators improved in all groups，with more significant improvements in the combined group (P<0.05). The overall effective rate in the combined electrical stimulation group was higher than that in the traditional electrical stimulation group and the lifestyle guidance group，with a statistically significant difference (P<0.05). Only a few patients experienced adverse reactions such as mild soreness or dizziness，which were relieved after adjusting the current intensity，and no serious adverse events occurred. Conclusions The combination of intravascular smooth muscle stimulation (CMLV) with traditional electrical stimulation is effective，safe and reliable in the treatment of postpartum MPPS，which can significantly reduce pelvic floor muscle pain，improve pain-related clinical symptoms，decrease pelvic floor muscle fatigue，enhance pelvic floor muscle strength and voluntary contraction ability，and improve pelvic-abdominal coordination. It is worthy of clinical promotion and application.

导出引用

史金禾, 李龙卫, 曲学玲, 等. 脉管内平滑肌刺激联合电刺激治疗产后盆底肌筋膜疼痛综合征疗效分析[J]. 中国实用妇科与产科杂志. 2025, 41(10): 1044-1048 https://doi.org/10.19538/j.fk2025100118

SHI Jin-he, LI Long-wei, QU Xue-ling, et al. Analysis of the efficacy of intravascular smooth muscle stimulation combined with electrical stimulation in the treatment of postpartum pelvic floor myofascial pain syndrome[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2025, 41(10): 1044-1048 https://doi.org/10.19538/j.fk2025100118

中图分类号： R711.59

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