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| Influence of myofascial finger method combined with neuromuscular electrical stimulation for treating patients with chronic pelvic pain syndrome on the changes of their inflammatory indicators levels, pelvic floor electromyography and anorectal pressure |
| Jiaozhou Central Hospital of Qingdao, Shandong Province, 266300 |
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Abstract To explore the influence of myofascial finger method combined with neuromuscular electrical stimulation for treating patients with chronic pelvic pain syndrome (CPPS) on the changes of their inflammatory indicators levels, pelvic floor electromyography and anorectal pressure. Methods: 197 patients with CPPS were selected and were divided into group A (98 cases with the treatment of neuromuscular electrical stimulation) and group B (99 cases with the treatment of finger method combined with neuromuscular electrical stimulation) according to the random number table method from March 2022 to May 2023. The levels of inflammatory indicators, such as C-reactive protein (CRP), interleukin-6 (IL-6) and tumor necrosis factor α (TNF-α), and the situations of pelvic floor electromyography, anorectal pressure and pain recovery of the patients were compared between the two groups. Results: The levels of CRP, IL-6 and TNF-α of the patients in the two groups after treatment had decreased significantly, and which (7.56±2.42 pg/ml, 252.14±146.17 mg/L and 1.92±0.56 ng/L) of the patients in group B were significantly lower than those (9.45±2.57 pg/ml, 381.58±147.59 mg/L and 2.48±0.63 ng/L) of the patients in group A. The levels of CRP, IL-6 and TNF-α of the patients in the two groups in the before and after resting phase had decreased significantly, and which of the patients in group B were significantly lower than those of the patients in group A. The levels of CRP, IL-6 and TNF-α of the patients in the two groups in the five times of rapid contraction phase, 10s sustained contraction phase and 60s sustained contraction phase had increased significantly, and which of the patients in group B were significantly higher than those of the patients in group A. The values of rectal pressure and the anal maximum systolic pressure of the patients in the two groups had increased significantly, and which (6.32±0.76 kPa and 25.15±2.32 kPa) of the patients in group B were significantly higher than those (5.78±0.47 kPa and 23.89±2.43 kPa) of the patients in group A. The values of the defecation sensation threshold and anal resting pressure of the patients in the two groups had decreased significantly, and which (55.84±6.06ml and 8.39±2.25 kPa) of the patients in group B were significantly lower than those (61.49±7.17ml and 11.32±3.41 kPa) of the patients in group A. The rate of severe pain (5.1%) of the patients in group B was significantly lower than that (10.2%) of the patients in group A (all P<0.05). Conclusion: The myofascial finger method combined with neuromuscular electrical stimulation for treating the patients with CPPS can better effectively reduce their inflammatory response, relieve their tension of pelvic floor muscle, restore their pelvic floor function and relieve their pain degree.
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