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中华妇幼临床医学杂志(电子版) ›› 2008, Vol. 04 ›› Issue (06) : 522 -526. doi: 10.3877/cma.j.issn.1673-5250.2008.06.103

论著

盆底肌康复治疗产后女性性功能障碍的疗效观察
罗新, 李瑞满   
  1. 武汉大学人民医院(武汉,430060)
    暨南大学附属第一医院妇产科
  • 出版日期:2008-12-01

Observation on the Effect of Pelvic Muscle Treatment in Postpartum Female Sexual Disfunction

Xin LUO, Rui-man LI   

  1. Department of Obstetrics & Gynecology, the First Affiliated Hospital of Jinan University, Guangzhou 510630, China
  • Published:2008-12-01
  • Supported by:
    * Project No. 2007B060401054, supported by the Guangdong Province Science and Technology Project ; project No. A2008364, supported by the Funding Issues of Guangdong Province Medical Research Fund
引用本文:

罗新, 李瑞满. 盆底肌康复治疗产后女性性功能障碍的疗效观察[J/OL]. 中华妇幼临床医学杂志(电子版), 2008, 04(06): 522-526.

Xin LUO, Rui-man LI. Observation on the Effect of Pelvic Muscle Treatment in Postpartum Female Sexual Disfunction[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2008, 04(06): 522-526.

目的

探讨女性产后性功能障碍的治疗方法。

方法

选取暨南大学附属第一医院2006年11月至2007年10月分娩的产妇中,经《病史问卷调查表》确诊为产后性功能障碍并坚持治疗至疗程结束的112例患者(年龄为22~40岁)为研究对象,将其随机分为盆底肌锻炼与电刺激联合生物反馈治疗组(康复组,n=55)和对照组(n= 57)(本研究遵循的程序符合暨南大学附属第一医院人体试验委员会所制定的伦理学标准,得到该委员会批准,并取得受试对象的知情同意)。康复组患者在医师指导下进行康复治疗,每周2次,16次为1个疗程,对照组患者自行行缩肛运动,每日1~3次。通过《产后女性性功能障碍诊断量化标准及评分表》调查,评估盆底肌锻炼与电刺激联合生物反馈治疗对产后女性性功能障碍的治疗效果。

结果

盆底综合肌力、性活动频度、性高潮、性生活质量满意度等方面比较,康复组明显优于对照组(P<0. 05)。

结论

盆底肌锻炼与电刺激联合生物反馈,是治疗产后女性性功能障碍的一种良好方法,是临床未来需普及推广的治疗方法之一。

Objective

To access the therapeutic methods for postpartum female sexual disfunction.

Methods

From November 2006 to October 2007, 112 puerpera, aged between 22 to 40, who delivered in the First Affiliated Hospital of Jinan University were diagnosed as the postpartum sexual disfunction by case history questionnaire. They were divided into two groups randomly, one for the treatment group with electrical stimulation biofeedback with pelvic muscle exercises(the treatment group, n= 55), the other for the control group(n=57). The treatment group received recovery therapy with medical guidance, twice a week, 16 times as a course. The effects of biofeedback and electrical stimulation with pelvic muscle exercises on sexual disfunction were tested through questionnaire.

Results

The treatment group outweighed the control group in pelvic muscle integrated tonus,sexual activity frequency, sexual orgasm, quality of sexual life(P<0. 01).

Conclusion

Biofeedback and electrical stimulation with pelvic muscle exercises is a good way to treat postpartum female sexual disfunction, which should be pervaded and extended in clinical in the future.

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