无并发症慢性盆腔疼痛综合征复合疗法的疗效

Larisa G. Sozaewa, I. Evstigneeva, O. Romanovskaya
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摘要

背景:慢性盆腔疼痛的治疗措施具有明显的跨学科性质,由药物治疗、物理治疗和心理治疗、物理治疗、手术治疗等各种影响手段组成。通常是通过处方全身作用的静脉张力药物来解决问题,这些药物可以增强静脉张力,使毛细血管的通透性和阻力恢复正常,改善血液的流变学特性。此外,物理疗法在盆腔疼痛综合征患者的治疗中也得到了广泛应用。目前,脉冲磁疗技术已经得到了详细的发展,但我们假设,联合使用体外磁刺激盆腔器官和使用局部再生膏可以确保相互增强治疗效果的有效性。目的:研究中药制剂和盆底体外磁刺激联合治疗盆腔疼痛综合征的临床疗效和血管反应特点。材料和方法:对 91 名慢性盆腔疼痛(病史超过 6 个月)患者进行了随机安慰剂对照研究。患者被分为 3 组,在主要研究参数(年龄、胎次、月经功能、疼痛严重程度和持续时间)方面无明显差异。第 1 组(n=30)患者每天独立使用植物来源的乳膏棒--直肠进行单一疗法;第 2 组(n=31)包括从月经周期第 5 天到第 15 天,进行为期 10 天的体外磁刺激盆底神经肌肉装置治疗的女性;在完成理疗疗程后,每天处方一种直肠来源的草药制剂;第 3 组(n=30)包括接受理疗疗程的女性患者。结果:研究发现,慢性盆腔疼痛患者需要接受综合治疗,包括物理治疗技术和中草药直肠制剂。在接受综合疗法治疗慢性盆腔疼痛的组别中,获得了长期的临床效果;这些数据与超声波参数相关。结论:研究证实,患有慢性盆腔痛的妇女应接受综合治疗,包括物理治疗技术,尤其是盆腔器官体外磁刺激技术,以及中草药直肠制剂。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of complex therapy uncomplicated chronic pelvic pain syndrome
BACKGROUND: Therapeutic measures for chronic pelvic pain are of a pronounced interdisciplinary nature and consist of a complex of various means of influence: pharmacotherapy, physiotherapy and psychotherapy, physical therapy, surgical treatment. The solution to problems is usually achieved by prescribing venotonic drugs of systemic action, which increase venous tone, normalize capillary permeability and resistance, improve the rheological properties of blood, and for the same purpose use antihomotoxic drugs of plant origin. In addition, physiotherapy methods have become widespread in the treatment of patients with pelvic pain syndrome. Currently, pulsed magnetic therapy technologies have been developed in detail, but we hypothesized that the combined use of extracorporeal magnetic stimulation of the pelvic organs and the use of local regeneration cream can ensure mutual enhancement of the effectiveness of therapeutic effects. AIM: To study the clinical effectiveness and characteristics of vascular reactions in response to combined treatment of pelvic pain syndrome with herbal preparations and extracorporeal magnetic stimulation of the pelvic floor. MATERIALS AND METНODS: A randomized placebo-controlled study was conducted in 91 patients with chronic pelvic pain (more than 6 months in history). The patients were divided into 3 groups and did not differ significantly in the main studied parameters (age, parity, menstrual function, severity and duration of pain). The 1st group (n=30) patients independently carried out daily monotherapy with a cream stick of plant origin ― rectally, the 2nd group group (n=31) included women who, from the 5th to the 15th day of the menstrual cycle, had a menstrual cycle for 10 days procedures for extracorporeal magnetic stimulation of the neuromuscular apparatus of the pelvic floor; after completing the course of physiotherapy, a herbal preparation of rectal origin was prescribed daily; group 3 (n=30) included female patients who underwent physiotherapy procedures. RESULTS: It was found that patients suffering from chronic pelvic pain need to undergo complex treatment, including physiotherapy techniques and rectal preparations of herbal origin. In groups receiving combination therapy for chronic pelvic pain, a long-term clinical effect was obtained; these data correlate with ultrasound parameters. CONCLUSION: It has been established that women suffering from chronic pelvic pain should undergo a comprehensive treatment including physiotherapy techniques, in particular extracorporeal magnetic stimulation of the pelvic organs, and rectal preparations of herbal origin.
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