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目的探讨药物、理疗联合心理干预整体化治疗女性慢性盆腔疼痛的临床效果。方法将临床诊断为心理性慢性盆腔疼痛患者236例,分为接受整体化治疗的治疗组(152例)和单纯药物治疗对照组(84例)。治疗组采用非甾体类抗炎药物、抗抑郁剂、中药、物理治疗联合心理干预治疗,药物疗程视疼痛程度确定时间。对照组仅采用非甾体类抗炎药物及抗抑郁剂治疗。比较两组疗效。结果经汉密尔顿焦虑量表测定,治疗组治疗后焦虑症状较治疗前明显减轻(P<0.01)。治疗组治疗总有效率99.34%,明显优于对照组的44.05%(P<0.05)。结论应用药物、物理治疗联合心理干预整体化治疗心理性慢性盆腔疼痛疗效确切,可有效提高患者的生活质量。
Objective To investigate the clinical effects of medication, physiotherapy and psychotherapy in the treatment of chronic pelvic pain in women. Methods A total of 236 patients with psychologically chronic pelvic pain were diagnosed clinically. The patients were divided into two groups: treatment group (152 cases) and drug therapy group (84 cases). The treatment group with non-steroidal anti-inflammatory drugs, antidepressants, traditional Chinese medicine, physical therapy combined with psychological interventions, drug treatment depending on the degree of pain to determine the time. The control group only treated with non-steroidal anti-inflammatory drugs and antidepressants. Compare the two groups curative effect. Results The results of Hamilton Anxiety Scale showed that the anxiety symptoms in the treatment group were significantly reduced after treatment (P <0.01). The total effective rate of the treatment group was 99.34%, which was significantly better than that of the control group (44.05%, P <0.05). Conclusion The application of drugs, physical therapy combined with psychological intervention in the treatment of psychological chronic pelvic pain curative effect is exact, can effectively improve the quality of life of patients.