与子宫内膜异位症相关的骨盆疼痛的物理治疗:系统性审查和元分析
Gökçe Can1, Isabel Pinto Amorim das Virgens1, Boglárka Fehér1,2
1Centre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Pain medicine (Malden, Mass.)
|July 24, 2025
概括
物理治疗技术显著降低了与子宫内膜异位症相关的骨盆疼痛 (EAPP). 局部治疗,特别是电疗和激光治疗,为患有这种疾病的女性提供了最大的疼痛缓解.
科学领域:
- 妇科 妇科医生 妇科
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
背景情况:
- 在全球范围内,子宫内膜异位症影响着1.9亿名生育年龄的女性,经常导致慢性盆腔疼痛 (CPP).
- 物理治疗技术 (PTs) 被探索为一种非侵入性的方法来管理与子宫内膜异位症相关的疼痛.
研究的目的:
- 系统地审查和元分析物理治疗技术在缓解子宫内膜异位症相关的骨盆疼痛 (EAPP) 的有效性.
主要方法:
- 根据PRISMA 2020和Cochrane指南进行系统审查和元分析.
- 在PubMed,Embase和Cochrane数据库中使用PICO策略 (人口,干预,比较器,结果) 进行的搜索.
- 在定量分析中,包括了7项涉及EAPP女性的研究.
主要成果:
- 与非物理治疗干预相比,物理治疗技术显示显著减少疼痛 (MD -1.97,CI -2.99至 -0.95).
- 物理治疗方法,包括电疗和激光设备,显示了最显著的疼痛减轻 (MD -2.03,CI -3.9至-0.14).
- 局部应用的PT在减轻疼痛方面比一般应用的技术更有效.
结论:
- 物理治疗技术是一种有效的策略,用于管理被诊断为子宫内膜异位症的妇女的疼痛.
- 局部化物理治疗干预措施,特别是利用电疗和激光治疗的干预措施,为子宫内膜异位症患者提供了卓越的疼痛缓解.
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