切换至 "中华医学电子期刊资源库"

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]. 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]. 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.

1 Xu XY, Yao ZW, Wang HY, et al. The relationship between postpartum sexual life quality and the way of delivery. Chin J Obstet Gynecol,2003,38(4):219-222.[徐晓阳,姚珍薇,王焕英等.产后性生活质量与分娩方式的关系.中华妇产科学杂志,2003,38(4):219-222.]
2 Kuang JQ. Women sexual issue. In:Cao ZY. ed. Chinese Obstetrics and Gynecology. Beijing:People's Medical Publising House,1999,1390-1407.[邝建全.妇女的性问题.见:曹泽毅主编.中华妇产科学.北京:人民卫生出版社,1999,1390-1407.]
3 Bian DH. Sexual dysfunction. In:Wang SZ. ed. Practical obstetrics and gynecology. Beijing: People's Medical Publising House,1987,865.[卞度宏.性功能失调.见:王淑贞主编.实用妇产科学.北京:人民卫生出版社,1987,865.]
4 Macarthur C,Lewis M,Knox EG. Health after childbirth. Br J Obstet Gynaecol,1991,98(1):193-195.
5 Griffiths A, Watermeyer S, Sidhu K,et al. Female genital tract morbidity and sexual function following vaginal delivery or lower segment caesarean section. Obstet Gynecol, 2006,26(7):645-649.
6 van Brummen HJ, Bruinse HW, van de Pol G,et al. Which factors determine the sexual function 1 year after childbirth? BJOG, 2006, 113(8):914-918.
7 Klein MC, Kaczorowski J, Firoz T, et al. Comparison of urinary and sexual outcomes in women experiencing vaginal and Caesarean births. Obstet Gynaecol Can, 2005,27(4):332-339.
8 Hicks TL,Goodall SF, Quattrone EM, et al. Postpartum sexual functioning and method of delivery:Summary of the evidence. J Midwifery Womens Health, 2004,49(5):430-436.
9 Sartore A,De Seta F, Maso G,et al. The effects of mediolateral episiotomy on pelvic floor function after vaginal delivery. Obstet Gynecol, 2004,103(4):669-673.
10 Signorello LB, Harlow BL, Chekos AK,et al. Postpartum sexual functioning and its relationship to perineal trauma:A retrospective cohort study of primiparous women. Am J Obstet Gynecol, 2001,184(5):881-888.
11 Barrett G,Pendfy E,Peacock J, et al. Women's sexual health after childbirth. BJOG,2002,107(2):186-195.
12 Brown S,Lumley J. Maternal health after childbirth:Results of an Australian population based survey. Br J Obstet Gynaecol,2004,105(2):156-161.
13 Dixon M,Booth N,Powell R. Sex and relationships following childbirth:A first report from general practice of 131 couples. Br J Gen Pract, 2003,50(452):223-224.
14 Glazener CM. Sexual function after childbirth:Women's experiences, persistent morbidity and lack of professional recognition. Br J Obstet Gynaecol,1997,104(3):330-335.
15 Klein MC,Gauthier RJ, Robbins JM,et al. Relationship of episiotomy to perineal trauma and morbidity,sexual dysfunction, and pelvic floor relaxation. Am J Obstet Gynecol,1994,171(3): 591-598.
16 Mazer NA,Leiblum SR,Rosen RC. The brief index of sexual functioning for women(BISF-W):A new scoring algorithm and comparison of normative and surgically menopausal populations. Menopause,2000,7(5):350-363.
17 Mathias SD,Kuppermann M,Liberm RF,et al. Chronic pelvic pain:Prevalence,health-related quality of life,and economic correlates. Obstet Gynecol,2001,87(3):321-327.
18 Masters WH,Johnson VE. Human sexual response. London:Churchill,2003,12:161-163.
19 Zondervan KT,Yudkin PL, Vessey MP. et al. Chronic pelvic pain in the community-symptoms:Investigations and diagnoses. Am J Obstet Gynecol,2003,184(6):1149-1155.
20 Almeida EC,Nogueira AA,Candido dos Reis FJ,et al. Cesarean section as a cause of chronic pelvic pain. Int J Gynaecol Obstet,2002,79(2):101-104.
21 Johanson RB,Menon BK. Vacuum extraction versus forceps for assisted vaginal delivery(Cochrane Review). Cochrane Database of Systematic Reviews. Oxford:Update Software, 2002,9:1232-1234.
22 Quirk FH,Heiman JR, Rosen RC, et al. Development of a sexual function questionnaire for clinical trials of female sexual dysfunction. J Womens Health Gend Based Med,2002,11(3):277-289.
23 Rosen R,Brown C,Heiman J,et al. The Female Sexual Function Index(FSFI):A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther, 2000,26:191-208.
24 Thompson JF, Roberts CL, Currie M,et al. Prevalence and persistence of health problems after childbirth: Associations with parity and method of birth. Birth, 2002,29:83-94.
25 Barrett G, Pendry E, Peacock J, et al. Women's sexual health after childbirth. Br J Obstet Gynaecol,2000,107:186-195.
26 Dixon M,Booth N, Powell R. Sex and relationships following childbirth: A first report from general practice of 131 couples. Br J Gen Pract, 2000,50:223-224.
27 Saurel-Cubizolles MJ, Romito P,Lelong N,et al. Women's health after childbirth:A longitudinal study in France and Italy. Br J Obstet Gynaecol, 2000,107;1202-1209.
28 Hannah ME, Hannah WJ, Hodnett ED, et al. Outcomes at 3 months after planned cesarean vs. planned vaginal delivery for breech presentation at term:The international randomized term breech trial. JAMA, 2002,287:1822-1831.
29 Meyer S,Hohlfeld P,Achtari C,et al. Birth trauma:Short and long term effects of forceps delivery compared with spontaneous delivery on various pelvic floor parameters. Br J Obstet Gynaecol,2000,107:1360-1365.
30 Signorello LB, Harlow BL, Chekos AK, et al. Postpartum sexual functioning and its relationship to perineal trauma: A retrospective cohort study of primiparous women. Am J Obstet Gynecol,2001,184(5):881-888.
31 Lydon-Rochelle M,Holt VL, Easterling T, et al. First birth cesarean delivery and placental abruption or previa at second birth. Obstet Gynecol, 2001,97(5 pt l):765-769.
32 Angioli R,Gomez-Marin O,Cantuaria G,et al. Severe perineal lacerations during vaginal delivery:The University of Miami experience. Am J Obstet Gynecol,2000,182(5): 1083-1085.
33 Gardella C,Taylor M,Benedetti T,et al. The effect of sequential use of vacuum and forceps for assisted vaginal delivery on neonatal and maternal outcomes. Am J Obstet Gynecol,2001,185(4):896-902.
[1] 董洁晨, 金海红, 龚姗, 李苗, 高淑蕊, 韩惠萍. 生物反馈电刺激联合药物在绝经后盆腔器官脱垂盆底重建术后应用[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(01): 60-64.
[2] 刘卓, 段虎斌. 生物电相关疗法在神经损伤修复中的应用进展[J]. 中华神经创伤外科电子杂志, 2023, 09(05): 257-260.
[3] 张永明. 颈段脊髓电刺激治疗颅脑损伤后慢性意识障碍的进展[J]. 中华神经创伤外科电子杂志, 2023, 09(03): 129-134.
[4] 王利, 张磊, 费晓炜, 伊西才, 王彦刚. 迷走神经电刺激术中充分剥离迷走神经鞘膜对术后癫痫发作影响的研究[J]. 中华神经创伤外科电子杂志, 2023, 09(03): 160-164.
[5] 廖家权, 吴波, 唐昌敏. 体外冲击波联合肌电生物反馈对脑卒中后足下垂的影响[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(05): 286-292.
[6] 党圆圆, 赵虎林. 机器人辅助小脑齿状核脑深部电刺激植入术[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(05): 320-320.
[7] 吴绍伟. 迷走神经电刺激术治疗神经系统疾病的应用进展[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(03): 180-184.
[8] 梁雪琴, 李娜, 潘芳芳, 张香玉, 段亚男. tDCS结合肌电生物反馈对脑梗死后偏瘫老年患者肢体功能、运动功能和动态姿势稳定性的影响[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(02): 90-96.
[9] 姜佳慧, 毕鸿雁. 基于虚拟现实技术施经颅直流电刺激对脑卒中患者上肢功能影响的Meta分析[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(02): 75-83.
[10] 徐武, 姜成荣, 种玉龙, 梁维邦. 脑深部电刺激术治疗梅杰综合征的两年疗效分析[J]. 中华脑科疾病与康复杂志(电子版), 2022, 12(06): 365-369.
[11] 陈普建, 张璟, 陈芬, 陈怡伟, 余蓓蓓, 周春英. 双侧丘脑底核交叉电脉冲脑深部电刺激对帕金森病步态障碍的疗效观察[J]. 中华脑科疾病与康复杂志(电子版), 2022, 12(05): 298-301.
[12] 张建萍, 邓海鹏, 焦黛妍, 赵洁. 高频重复经颅磁刺激联合肌电生物反馈治疗脑卒中后吞咽障碍的临床研究[J]. 中华脑科疾病与康复杂志(电子版), 2022, 12(05): 285-290.
[13] 黄涌, 邓宏平, 黄丽, 沈秋桐, 曹汉忠. 耳穴压籽联合经皮穴位电刺激对老年膝关节置换术后急性疼痛的作用[J]. 中华临床医师杂志(电子版), 2023, 17(03): 285-290.
[14] 王永通, 金黑鹰, 张春霞, 叶晓瑞, 王俊, 杨阳, 刘建磊, 张心怡. 磁刺激联合生物反馈治疗盆底功能障碍性疾病的前瞻性非随机对照研究[J]. 中华临床医师杂志(电子版), 2022, 16(07): 621-625.
[15] 闫晶, 蒋媛, 买买提·依斯热依力, 王俭, 王永康, 阿巴伯克力·乌斯曼, 王志, 克力木·阿不都热依木. 膈肌生物反馈训练对胃食管反流病的效果分析[J]. 中华胃食管反流病电子杂志, 2023, 10(01): 50-55.
阅读次数
全文


摘要