Patient perceptions of vulvar vibration therapy for refractory vulvar pain.
Patient perceptions of vulvar vibration therapy for refractory vulvar pain.
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患者对外阴振动疗法治疗难治性外阴疼痛的看法。
DOI：
10.1080/14681990802411685
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Steege,John
中科院分区：
文献类型：
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作者：
Zolnoun,Denniz;Lamvu,Georgine;Steege,John
本研究的目的是描述外阴振动疗法（VVT）的可接受性，这是一种治疗外阴疼痛的新方法。我们纳入了前往骨盆疼痛诊所就诊并使用VVT至少两周的外阴疼痛女性。参与者完成了一份三页、65项的问卷，评估人口统计学、VVT使用情况和对Likert关于VVT可达性、舒适性和症状反应的声明的反应。在69例合格患者中，49例（72%）的结果符合分析条件。参与者主要是白色，已婚，受过良好教育，中位年龄为30岁（范围19-68岁）。外阴疼痛和性交困难的中位持续时间分别为2年（0-23）和3年（0-30）。VVT的中位持续时间为5个月（1-18），每周3天（0.5-7）。83%的人表示，“振动器治疗是一种可以接受的治疗”，83%的人表示他们“对振动器治疗感到满意”，76%的人认可振动器使用舒适，73%的人表示，自从开始振动治疗以来，性生活的痛苦减少了，88%的人会向其他人推荐VVT。我们的结论是，VVT的治疗原理是基于振动的抗伤害性特性和对物理治疗外阴疼痛的有利反应。外阴振动疗法是安全的，便宜的，在这项调查中，大多数患者可以接受，其中许多人描述症状改善。
The objective of this study was to describe acceptability of vulvar vibration therapy (VVT), a novel treatment approach to vulvodynia. We included women with vulvodynia who attended the Pelvic Pain Clinic and had used VVT for at least two weeks. Participants completed a three-page, 65-item, questionnaire assessing demographics, VVT usage and responses to Likert statements regarding accessibility, comfort and symptom response to VVT. Of 69 qualifying patients, results from 49 (72%) were eligible for analysis. Participants were primarily white, married and well-educated, with a median age of 30 (range 19–68 years). Median duration of vulvar pain and dyspareunia was two years (0–23) and three years (0–30), respectively. Median duration of VVT was five months (1–18) and three days per week (0.5–7). Fully, 83% said that, “vibrator treatment is an acceptable treatment”, 83% said that they were “satisfied with vibrator treatment”, 76% endorsed vibrator as comfortable to use, 73% indicated that sex is less painful since starting vibration treatment and 88% would recommend VVT to others. We conclude that the therapeutic rationale for VVT is based on the anti-nocioceptive properties of vibration and on the favorable response of vulvodynia to physical therapy. Vulvar vibration therapy is safe, inexpensive and, in this survey, acceptable to most patients, many of whom described improvement in symptoms.