Abstract：Objective To compare the therapeutic effect of transvaginal trigger points and manual massage combined with transcutaneous electrical nerve stimulation against postpartum pelvic myofascial pain (MFPP).Methods Women who had delivered in our hospital 6 to 9 weeks before between May 2018 and November 2019 were selected,509 of whom met the MFPP diagnostic criteria and were included. They were randomly divided into the observation group (257 cases) and the control group (252 cases) The observation group was treated with transvaginal trigger points combined with transcutaneous sacral nerve 3 electrical stimulation, while the control group was treated with transcutaneous electrical stimulation combined with massage. The patient’s pain scores were recorded before and after treatment. The effective rate was calculated in both groups.Results The VAS score and the degree of sexual intercourse pain of patients in the two groups were significantly lower after one month of treatment, and the difference was statistically significant (P<0.05). After one month of treatment, there was no statistically significant difference in VAS scores or degrees of intercourse pain between the two groups. The pelvic floor muscle strength in the observation group was significantly superior to that of the control group after treatment, with significant differences(P<0.05). The total effective rate of the observation group (99.22%) was significantly better than that of the control group (94.05%), and the difference was statistically significant(P<0.01).Conclusions Transvaginal trigger points combined with percutaneous sacral 3 nerve electrical stimulation are effective in the treatment of postpartum MFPP patients, and it is a safe, user-friendly and reliable approach.
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2020, Vol. 31 
