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Effect of trigger point releasing therapy on postpartum pelvic floor muscle spasm constipation |
ZHU Yinjie MAO Yeran FAN Wenjun LIU Zhidan |
Department of Rehabilitation, Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine Baoshan Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201999, China
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Abstract Objective To observe the effect of trigger point release therapy on postpartum spastic pelvic floor muscle syndrome. Methods A total of 60 patients with postpartum spastic pelvic floor syndrome from the Postpartum Rehabilitation Clinic, Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine from February 2020 to January 2022 were selected as research objects. The patients were divided into observation group and control group by envelope method, with 30 cases in each group. The control group received Kegel exercise and electromyographic biofeedback treatment, and observation group received trigger point releasing therapy on the basis of control group, both groups were treated for five weeks. Visual analogue scale (VAS) score, constipation scoring system (CSS) score and patient assessment of constipation quality of life (PAC-QOL) score of two groups were compared before and after treatment. Results After treatment, VAS, CSS, and PAC-QOL scores in two groups were lower than those before treatment, and observation group was lower than control group, and the differences were statistically significant (P<0.05). Conclusion Trigger point releasing therapy can improve the constipation symptoms of patients with postpartum spastic pelvic floor muscle syndrome.
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[1] Carbognani P,Spaggiari L,Soliani P,et al. The spastic pelvic floor syndrome:its diagnosis and treatment [J]. Ann Ital Chir,1992,63(1):69-73.
[2] ZY/T001.1-94,盆底肌痉挛综合征的诊断依据、证候分类、疗效评定——中华人民共和国中医药行业标准《中医内科病证诊断疗效标准》(ZY/T001.1-94)[J].辽宁中医药大学学报,2018,20(2):1.
[3] 杨艳.综合护理干预对产后便秘的影响[J].卫生职业教育,2012,30(10):146-147.
[4] 陈晓丹.凯格尔运动训练联合生物反馈电刺激治疗对顺产妇盆底肌早期康复的效果研究[J].中国妇幼保健,2020, 35(24):4661-4664.
[5] 罗希,田恬.孕期凯格尔运动对妊娠方式及分娩后膀胱功能障碍的影响[J].北华大学学报(自然科学版),2018, 19(6):796-799.
[6] 张萍,史晓红,张浩,等.腹式呼吸训练作用机制及临床应用[J].现代中西医结合杂志,2012,21(2):222-224.
[7] 刘鹏,孙红霞.不同分娩方式对盆底功能的影响及产后电刺激对盆底肌康复治疗效果对比研究[J].临床和实验医学杂志,2017,16(5):507-510.
[8] Woodforde JM,Merskey H. Some relationships between subjective measures of pain [J]. J Psychosom Res,1972,16(3):173-178.
[9] Agachan F,Chen T,Pfeifer J,et al. A constipation scoring system to simplify evaluation and management of constipated patients [J]. Dis Colon Rectum,1996,39(6):681-685. [10] 金洵,丁义江,丁曙晴,等.便秘患者生存质量自评量表PAC-QOL中文版的信度、效度及反应度[J].世界华人消化杂志,2011,19(2):209-213.
[11] Steven D,Graeme S. Constipation Second Edition [J]. Springer Verlag London Limited,2006,32(7):14-20.
[12] 黄蕾.女性盆底功能障碍性疾病的手术治疗[J].中国社区医师,2018,34(30):41-42.
[13] 谭霭谊,周娜,张英连,等.盆底功能障碍性疾病的康复治疗及护理现状研究进展[J].继续医学教育,2020,34(9):72-74.
[14] 陈月兰,唐仕肖,麦细贤.凯格尔运动结合产后康复锻炼预防产后便秘的临床效果观察[J].中国当代医药,2017, 24(25):104-106.
[15] 胡玉婷.凯格尔运动在预防产后便秘中的应用效果[J].上海护理,2020,20(8):18-20.
[16] 路明,刘扬,温浩,等.生物反馈训练治疗盆底肌痉挛综合症的临床疗效观察[J].中华结直肠疾病电子杂志,2016, 5(1):60-63.
[17] 杜霄.生物反馈联合电刺激及盆底肌锻炼对产后盆底康复的疗效观察[J].中国妇幼保健,2015,30(8):2586- 2589.
[18] 何国梅.生物反馈电刺激疗法联合盆底肌锻炼在产后盆底功能康复中的应用价值[J].中国计划生育和妇产科,2017,9(11):54-57.
[19] 李洁盈,孙文妹,郑秋梅,等.生物反馈电刺激结合盆底肌训练治疗产后盆底功能障碍的作用[J].中国妇幼保健,2017,32(20):4945-4947.
[20] 钱慧,孙红梅,刘凤华,等.电刺激生物反馈法治疗产后盆底功能障碍的临床效果[J].中国医药导报,2021,18(12):123-126.
[21] 朱艺华.生物反馈联合电刺激治疗产后盆底功能障碍性疾病的效果[J].中外医学研究,2021,19(30):148- 151.
[22] 袁丽娜.按摩结合电刺激对盆底肌筋膜疼痛综合征的治疗[J].中国现代医生,2019,57(1):57-59.
[23] 周雪梅,张昌凤.盆底肌训练和盆底电刺激在产后盆底肌力康复治疗中的应用价值[J].检验医学与临床,2016, 13(3):365-367.
[24] 覃健.盆底肌训练和盆底电刺激在产后盆底肌力康复中的应用价值[J].河北医药,2015,37(14):2089-2092.
[25] 杨士伟,辛学知,刘钧宁,等.电针八髎穴治疗盆底痉挛综合征疗效观察[J].中国针灸,2014,34(9):869-872.
[26] 张盛甫,唐清珠,陈鸣旺,等.手法松解结合电针治疗盆底肌痉挛综合征的疗效观察[J].湘南学院学报(医学版),2020,22(4):34-36.
[27] 陈旭丰,崔小燕,余丽芬.针刺扳机点结合筋膜松解术治疗慢性腰部肌筋膜疼痛综合征的疗效及对TNF-α、IL-1β水平的影响[J].中华中医药学刊,2021,39(10):236-238.
[28] 焦睿,余淑芳,梁明华,等.扳机点的理论基础与其在肌肉软组织损伤中的临床应用[J].中国医师杂志,2015, 17(S1):260-262. |
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