穴位注射治疗盆底肌筋膜炎盆腔痛临床疗效观察.docVIP

穴位注射治疗盆底肌筋膜炎盆腔痛临床疗效观察 　　[摘要] 目的 探讨经阴道穴位注射治疗盆腔肌筋膜炎慢性盆腔痛的临床疗效，为临床提供参考。 方法 80例盆底肌筋膜炎患者随机分为观察组和对照组各40例，观察组给予经阴道痛点穴位注射治疗，对照组给予经阴道非痛点注射，观察比较两组患者治疗前、治疗1周和2周后临床症状、体征、疼痛评分等指标的变化。 结果 治疗前观察组和对照组间疼痛评分比较无显著性差异（P0.05）；两组患者治疗后疼痛评分与治疗前相比明显下降，均有显著性差异（P0.01），且观察组的疗效优于对照组（P0.01）。 结论 经阴道穴位注射能明显缓解盆底肌筋膜炎导致的慢性盆腔痛症状，但要求痛点注射准确。 　　[关键词] 经阴道痛点穴位注射；盆底肌筋膜炎；慢性盆腔痛 　　[中图分类号] R246 [文献标识码] B [文章编号] 1673-9701（2015）15-0051-03 　　[Abstract] Objective To explore the clinical effects of transvaginal acupoint injection in the treatment of chronic pelvic pain induced by pelvic floor myofascitis. Methods All 80 patients with pelvic floor myofascitis were randomly assigned to an observation group and a control group， with 40 patients in each group. The observation group was given the treatment of transvaginal pain spot injection， and the control group was given transvaginal non-pain spot injection. Changes of clinical symptoms， signs， pain scores and other indices before the treatment， 1 week and 2 weeks after the treatment between the two groups of patients were observed and compared. Results Comparison of pain scores between the treatment group and the control group before the treatment was not significantly different （P0.05）； pain scores after the treatment in the two groups were significantly lower compared to those before the treatment， and the differences in the two groups were both significant （P0.01）. The curative effects in the treatment group were better than those in the control group （P0.01）. Conclusion Transvaginal acupoint injection is able to significantly alleviate chronic pelvic pain induced by pelvic floor myofascitis， but accurate pain spot injection is required. 　　[Key words] Transvaginal pain spot injection；Pelvic floor myofascitis；Chronic pelvic pain 　　慢性盆腔痛（CPP）是妇科常见的一组症候群，病因复杂，可涉及多个学科，据资料记载，其中14%～23%慢性盆腔痛是由盆底肌筋膜炎引起[1，2]，有研究显示78%～85%的慢性盆腔痛患者合并有盆底肌筋膜炎[3，4]。此类患者往往呈小腹冷痛，得热稍舒，伴有肛门下坠感，妇科检查用手指触诊盆腔肌肉有疼痛结节，舌质黯，苔白腻，脉沉紧，中医辨证为寒湿凝滞型。由于病变处于骨盆内侧，部位隐蔽，很少有医生能用手指触诊到盆底肌肉的触动点[5]，所以是慢性盆腔痛中最易忽视的一种病症[