盆底肌电生物反馈疗法治疗女性性功能障碍临床价值的Meta分析

目的评价盆底肌电生物反馈疗法治疗女性性功能障碍者盆底肌力、性满意度、性交疼痛及性交频率的临床价值。方法 CBM、PubMed、CNKI(中国知网)、VIP(维普)、WangFang Date(万方)等数据库检索盆底肌电生物反馈治疗女性性功能障碍的随机对照试验(randomized controlled trial,RCT),对结果进行数据统计处理,采用Begg和Egger法对文章发表偏倚进行分析。结果共纳入文献10篇。Meta分析结果显示,盆底肌电生物反馈治疗组在1~2个疗程治疗中,盆底肌力、性交频率提高,整体效果检验Z值、合并比值OR及95%CI分别为11.65、12.14、[7.98,18.48],8.97、3.86、[2.87,5.18];性交疼痛降低,整体效果检验Z值、合并比值OR及95%CI为7.52、3.13、[2.33,4.22];性生活满意度中试验组与对照组差异无统计学意义(P0.05)。结论盆底肌电生物反馈疗法可有效提高女性性功能障碍者盆底综合肌力与性交频率,降低性交疼痛。但应关注女性性功能障碍者心理状态,提升其自信,从而提高性行为满意度。

Clinical Value of Pelvic Floor Surface Electromyography Biofeedback Therapy in the Treatment of Female Sexual Dysfunction:A Meta-analysis

[Abstract ] Objective To evaluate the effect of pelvic floor surface electromyography biofeedback therapy in treating pelvic floor muscle,sexual satisfaction,pain during intercourse,frequency of sexual intercourse of female with sexual dysfunction.Methods The randomized controlled trials(RCT)about the pelvic floor surface electromyography biofeedback therapy for female sexual dysfunction were searched in CBM, PubMed,CNKI,VIP and WangFang Data.Begg and Egger were used to analyze publication bias.Results Ten RCTs were eligible.Meta-analysis showed that during one to two therapy courses,pelvic floor muscle and the frequency of sexual intercourse had been improved,Z,OR and 95% CI were 11.65,12.14,[7.98,18.48],8.97、3.86, [2.87,5.18],respectively.Pain during intercourse had been relieved,Z,OR and 95% CI were 7.52,3.13,[2.33, 4?22].There was no differences between test group and control group in sexual satisfaction (P <0.05).Conclusions Pelvic floor surface electromyography biofeedback therapy can improve pelvic floor muscle and the frequency of sexual intercourse,ease the pain during intercourse.But we should pay more attention to the mental status of female with sexual dysfunction,improve their confidence and then improve their satisfaction during intercourse.