Objective: To observe the effect of electroacupuncture (EA) on chronic pelvic pain in patients with sequelae of pelvic inflammatory disease.
Methods: A total of 144 patients with chronic pelvic pain were randomly divided into an observation group (72 cases, 10 cases dropped off) and a control group (72 cases, 9 cases dropped off). The patients in the control group were treated with ibuprofen sustained-release capsules 10 days before menstruation, 0.3 g each time, once a day. On the basis of the treatment of the control group, the patients in the observation group were treated with EA at Guanyuan (CV 4), Shuidao (ST 28), Guilai (ST 29), Shenshu (BL 23) and Ciliao (BL 32), disperse-dense wave, 2 Hz/15 Hz of frequency, once a day. The patients in both groups were treated for 10 days per menstrual cycle for 3 menstrual cycles. The visual analogue scale (VAS) scores of lower abdomen and lumbosacral area, local sign score, quality of life scale score and pain disappearance rate were compared between the two groups before and after treatment.
Results: The VAS scores of lower abdomen and lumbosacral area as well as each item score and total score of local signs in the observation group after treatment were significantly lower than those before treatment and those in the control group (P<0.05). Compared before treatment, the scores of physiological, psychological, social and environmental domains of the quality of life scale in the observation group were significantly increased after treatment (P<0.05); the score of physiological domain in the control group after treatment was significantly higher than that before treatment (P<0.05); the score of physiological domain in the observation group was higher than that in the control group (P<0.05). The pain disappearance rate was 87.1% (54/62) in the observation group, which was higher than 46.0% (29/63) in the control group (P<0.05).
Conclusion: EA can relieve the pain symptoms in patients with chronic pelvic pain and improve their quality of life.
目的：观察电针对盆腔炎性疾病后遗症慢性盆腔痛患者疼痛的影响。方法：将144例慢性盆腔痛患者随机分为观察组（72例，脱落10例）和对照组（72例，脱落9例）。对照组于月经来潮前10天口服布洛芬缓释胶囊治疗，每次0.3 g，每日1次。观察组在对照组治疗基础上于关元、水道、归来、肾俞、次髎行电针疗法（疏密波，频率2 Hz/15 Hz），每日1次。两组均每个月经周期治疗10 d，治疗3个月经周期。比较两组患者治疗前后下腹部、腰骶部疼痛视觉模拟量表（VAS）评分、局部体征评分、生活质量量表评分及疼痛消失率。结果：观察组治疗后下腹部、腰骶部疼痛VAS评分和局部体征各项评分及总评分均较治疗前及对照组降低（P<0.05）。治疗后，观察组生活质量量表生理、心理、社会、环境领域评分均较治疗前升高（P<0.05），对照组生理领域评分较治疗前升高（P<0.05）；观察组生理领域评分高于对照组（P<0.05）。观察组疼痛消失率为87.1%（54/62），高于对照组的46.0%（29/63，P<0.05）。结论：电针可缓解盆腔炎性疾病后遗症慢性盆腔痛患者疼痛症状，提高其生活质量。.
Keywords: chronic pelvic pain; electroacupuncture; pain; quality of life; randomized controlled trial (RCT).