UNASSIGNED:本文的目的是评估多式联运的功效,门诊神经肌肉方案治疗子宫内膜异位症患者术后残留的敏化和肌筋膜疼痛。
UNASSIGNED:对22至78岁有手术切除子宫内膜异位症病史的女性进行了一项回顾性纵向研究。60名平均疼痛持续时间为8.63±7.65年的女性接受了由超声引导的触发点注射组成的治疗方案,周围神经阻滞,盆底物理治疗6周。还进行了每周一次的伴随认知行为治疗,共12周。在新患者咨询和3个月随访时,使用视觉模拟评分(VAS)和功能性骨盆疼痛量表(FPPS)评估疼痛强度和骨盆功能。
未经批准:在新患者咨询中,平均VAS和FPPS分别为7.45±2.11(CI6.92-7.98)和14.35±6.62(CI12.68-16.02),分别。在3个月的随访中,平均VAS和FPPS降至4.12±2.44(CI3.50-4.73;p<0.001)和10.3±6.55(CI8.64-11.96;p<0.001),分别。在FPPS类别中,睡觉,性交,和工作表现出最高的统计意义。
UNASSIGNED:数据表明,多模式方案可有效治疗子宫内膜异位症患者手术切除后的剩余潜在敏化和肌筋膜疼痛,特别是在工作和性交时减轻疼痛和改善功能。
UNASSIGNED: The purpose of this paper is to evaluate the efficacy of a multimodal, outpatient neuromuscular protocol in treating remaining sensitization and myofascial pain in endometriosis patients post-surgical excision.
UNASSIGNED: A retrospective longitudinal study was conducted for women aged 22 to 78 with a history of surgically excised endometriosis. 60 women with an average duration of pain of 8.63 ± 7.65 years underwent a treatment protocol consisting of ultrasound guided trigger point injections, peripheral nerve blocks, and pelvic floor physical therapy for 6 weeks. Concomitant cognitive behavioral therapy once weekly for a total of 12 weeks was also undertaken. Pain intensity and pelvic functionality were assessed at new patient consults and 3-month follow ups using Visual Analogue Scale (VAS) and Functional Pelvic Pain Scale (FPPS).
UNASSIGNED: At new patient consults, average VAS and FPPS were 7.45 ± 2.11 (CI 6.92-7.98) and 14.35 ± 6.62 (CI 12.68 -16.02), respectively. At 3-month follow ups, average VAS and FPPS decreased to 4.12 ± 2.44 (CI 3.50-4.73; p < 0.001) and 10.3 ± 6.55 (CI 8.64-11.96; p < 0.001), respectively. Among FPPS categories, sleeping, intercourse, and working showed the highest statistical significance.
UNASSIGNED: Data suggests the multimodal protocol was effective in treating the remaining underlying sensitization and myofascial pain seen in Endometriosis patients post-surgical excision, particularly in decreasing pain and improving function during work and intercourse.