盆底肌肉锻炼联合生物反馈电刺激治疗产后性功能障碍的临床研究

目的观察盆底肌肉锻炼联合生物反馈电刺激治疗产后性功能障碍的治疗效果。方法选取郑州市第九人民医院2012年4月至2013年4月收治的产后性功能障碍患者108例,采用随机数字表法分为两组:观察组(55例)采用盆底肌肉联合生物反馈电刺激治疗;对照组(53例)采用简单的盆底肌肉锻炼治疗。采用盆底康复仪评价两组患者的盆底综合肌力,采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评价患者的抑郁和焦虑情况,并通过调查问卷的形式调查患者的性生活情况。结果治疗后,两组患者基本恢复和完全恢复等级的比例显著高于治疗前,且观察组优于对照组(P<0.05)。治疗后,观察组SAS和SDS评分显著下降,且下降幅度优于对照组(P<0.05)。观察组患者1个月生活次数在5次以上的比例、性欲增加的比例、性高潮频率增加的比例均显著高于对照组(P<0.05),观察组性交痛的比例显著低于对照组(P<0.05)。观察组患者性生活满意度、性感程度自我评分、性感程度他人评分均高于对照组(P<0.05)。结论采用盆底肌肉锻炼联合生物反馈电刺激治疗产后性功能障碍能够取得满意的临床效果,可有效提高患者产后的性生活质量。

Pelvic Floor Muscle Exercise Combined with Biofeedback Electrical Stimulation in the Treatment of Postpartum Sexual Dysfunction

Objective To observe the therapeutic effect of pelvic floor muscle＇ exercises combined with biofeedback treatment for postpartum sexual dysfunction. Methods A total of 108 women with postpartum sexual dysfunction admitted to Zhengzhou City Ninth People＇s Hospital from Apr. 2012 to Apr. 2013 were selected, and randomly divided into two groups：observation group （55 cases） treated with pelvic floor muscle training combined with biofeedback electrical stimulation therapy; the control group（53 cases） treated with simple pelvic floor muscle training. Pelvic floor myodynamia rehabilitation of the two groups were detected by pelvic floor rehabilitation instrument, self rating depression scale （SDS） and self-rating anxiety scale （SAS） were used to assess the depression and anxiety, and questionnaire survey was done to investigate the sexual life of the patients. Results After the treatment, basic recovery and complete recovery level of the two groups was significantly higher than before treatment,and the observation group better than the control group（P 〈0.05）. After treatment, the SAS and SDS scores of the observation group were significantly decreased, and the decrease was better than the control group（ P 〈 0.05 ）. The proportion of patients with more than 5 times of sexual life in 1 month, the proportion of increased libido and the proportion of orgasm frequence increase of the observation group were all higher than the control group （ P 〈 0.05 ）, the sexual pain of the observation group was significantly lower than the control group （ P 〈 0.05 ）. The satisfaction degree of sexual life, sexy degree self-rating score and sexy degree others-rating score were higher than the control group （ P 〈 0.05 ）. Conclusion The pelvic floor muscle exercises combined with biofeedback treatment of postpartum sexual dysfunction can achieve satisfactory clinical results, can effectively improve the quality of post-partum sexual.