Analysis Of The Curative Effect Of TEN'S Combined With The Endorphin Integration Scenario In The Treatment Of Myofascial Origined Chronic Pelvic Pain In Women

Objective:To investigate the curative effect of transcutaneous electric nerve stimulation(TEN'S)combined with endorphin integration scenario in the treatment of myofascial origined chronic pelvic pain in women,and to evaluate the therapeutic effect of female CPP patients according to the change of pressure threshold and pain score,and to clarify the analgesic mechanism of TEN'S combined with the endorphin integration scenario in the treatment of female CPP.Methods:Collecting a total of 117 women with chronic pelvic pain who were diagnosed at the Treating and Reconstructing Center of Female Pelvic Floor and Urinary System of Dalian Municipal Women and Children's Medical Centefrom August 2014 to June 2016 were enrolled in the study,all patients were required to fill out the case data collection form which was our own designed,usingautomatic pain on pressure detectors for body surface and vaginal were applied to detect the pain threshold under the speed 0.5kg/cm2/s to estimate the patierts whose pain threshold and pain score in the before and after of treatment with the TEN'S combined with the endorphin integration scenario on 34 spots,which were in abdomen(14),vulva(6),pelvic floor muscles(8)and vaginal front and back fornix,bilateral accessories and uterine sacrum ligament(6)(unit:kg/cm2),and all patients need to fill in a simplified pain rating scale according to the degree of pain(According to the degree of pain were divided by 0-10 representative the pain score,0 pointsindicating no pain and 10 points indicating severe pain)at the same time.To evaluate the efficacy of TEN'S combined with the endorphin integration scenario in the treatment of chronic pelvic pain before and after treatment with the combination of thePressure threshold test and Pain assessment method,and then analyze the correlation between the Pressure threshold test and Pain assessment method for the evaluation effect of CPP.According to the pain score before treatment,all enrolled patients were divided into mild pain group(0-3),moderate pain group(4-7)and severe pain group(8-10);According to the five grade classification of pain relief,the patients were divided into groups according to the degree of pain scores before and after treatment in CPP patients(no remission group,mild remission group,moderate remission group,obvious remission group,complete remission group).All the experimental data were analyzed by SPSS 18.0 software,P<0.05 was found to be statistically significant.Results:The mean pressure pain threshold(kg·cm2-1)after treatment was significantly higher than that before treatment(P<0.05),in abdomen(1.49±0.17 vs 1.47±0.14),vulva(1.07±0.12 vs 1.01 ±0.14),pelvic floor muscles(1.39±0.12 vs 0.91 ±0.14),vaginal front and back fornix(1.37±0.18 vs 1.27±0.17),bilateral accessories(1.41 ±0.15 vs 1.26±0.18)and uterine sacrum ligament(1.41 ±0.13 vs 0.91 ±0.15),and the average pain score in each detection point was significantly lower than that before treatment(1 ±0.74 vs 1±0.56;1±0.66 vs 2±1.03;2±0.75 vs 9±1.83;1±0.64 vs 2±1.72;1±0.70 vs 2±1.87;2±0.91 vs 9±1.91;P<0.05).There was a negative correlation between pain threshold and pain score in pelvic floor muscles(obturator internus,puborectal muscle and iliococcygeus),bilateral accessories,bilateral uterine ligament,bilateral sacral ligament and vaginal front and back fornix(r=-0.19?-0.78,P=0.01?0.04);there was a negative correlation between pain threshold and pain score in the left and right sides of latissimus dorsi(r=-0.28,P=0.04;r=-0.32,P=0.02).The complete remission rate of pain is 9.4%(11/117),the apparent remission rate is 90.6%(106/117),the overall remission rate is 100%(117/117).Conclusion:1.After the treatment of TEN S combined with endorphins,the pain threshold of CPP patients was significantly higher than that before.2.TEN'S combined with the endorphin integration scenario reduce the pain score by increasing the patient'S stress threshold,the analgesic mechanism of CPP maybe an elevated pressure pain threshold,and a reduction in central sensitization,thus to achieve the purpose of pain.3.TEN'S combined with he endorphin integration scenario has a good effect in the reatment of Myofascial Origined Chronic Pelvic Pain in Women,no adverse reaction,is a worthy choice to treat these diseases.