摘要
目的探讨盆底物理治疗改善盆腔和生殖器疼痛相关性功能障碍的临床效果。方法选取2017年6月至2017年12月深圳市龙华区人民医院诊治的产后盆腔和生殖器疼痛相关性功能障碍的50例产妇作为研究对象。采用随机数字法将其随机分为观察组与对照组,每组25例产妇。观察组产妇在对照组治疗的基础上进行盆底物理治疗,对照组产妇采取盆腔和生殖器疼痛性功能障碍相关知识宣教讲解和心理辅导, 3个月后比较两组产妇性功能障碍改善情况,并且采用GE Voluson E8型彩色多普勒超声诊断仪检查膀胱颈角度、膀胱旋转角度和膀胱颈移动变化情况。结果治疗后,两组产妇盆底肌力等级均较治疗前有所升高,且观察组产妇升高幅度大于对照组产妇(P<0.05)。观察组产妇盆底功能障碍治疗有效率高于对照组产妇(92.0%vs 76.0%,P<0.05)。治疗后,两组产妇中压力性尿失禁、盆腔器官脱垂、慢性盆腔疼痛均少于治疗前,且观察组产妇盆底功能障碍性疾病发生情况少于对照组产妇(P<0.05)。治疗后,两组产妇各项性功能客观指标均优于治疗前,其中观察组产妇每周性生活次数、每次性生活持续时间、性伴侣满意度均优于对照组产妇(P<0.05)。治疗后,两组产妇性生活质量均优于治疗前,且观察组产妇优于对照组产妇(P<0.05)。在静息情况下,观察组产妇的平均膀胱颈角度为(116.05±5.72),与对照组产妇的(121.27±6.19)相差较大(P<0.05)。在瓦尔萨尔瓦氏动作现象(Valsalva)下,观察组产妇的膀胱颈角度为(146.55±8.01),对照组产妇的膀胱颈角度为(156.62±7.99),其差异具有统计学意义(P<0.05)。观察组产妇的平均膀胱旋转角度为(30.36±2.86),对照组产妇的平均膀胱旋转角度为(36.52±3.25),其差异具有统计学意义(P<0.05)。观察组产妇的膀胱颈移动度为(30.05±1.31)mm,对照组产妇的膀胱颈移动度为(33.12±2.65)mm,其差异具有统计学意
Objective To investigate the efficacy of pelvic floor physiotherapy in improving postartum sexual dysfunction related to pelvic and genital pain. Methods 50 parturients with postartum sexual dysfunction related to pelvic and genital pain treated in The People′s Hospital of Longhua from June 2017 to December 2017 were selected as the study subjects. They were randomly divided into observation group and control group, with 25 parturients in each group. The control group was given knowledge instruction and psychological counseling on sexual dysfunction related to pelvic and genital pain, on the basis of which the observation group additionally received given pelvic floor physical therapy. 3 months later, the improvement of sexual dysfunction was compared between the two groups. GE Voluson E8 color Doppler ultrasonography was used to examine the changes of bladder neck angle, bladder rotation angle and bladder neck movement. Results After the treatment, the pelvic floor muscle strength increased in both groups, and the increase of the observation group was better than that of the the control group(P<0.05). As for the effective rate of treating pelvic floor dysfunction, it′s higher in the observation group than that in the control group(92.0% vs 76.0%, P<0.05). After the treatment, the incidence of stress urinary incontinence, pelvic organ prolapse and chronic pelvic pain decreased in both groups, and the incidence of diseases related to pelvic floor dysfunction was lower in the observation group than that in the control group(P<0.05). After the treatment, the objective indexes of sexual function of the two groups were better than those before treatment. The number of sexual life per week, the duration of each sexual activity and the satisfaction of sexual partners were better in the observation group than those in the control group(P<0.05). After treatment, the quality of sexual life was improved in both groups, and the observation group had better sexual life than the control group(P<0.05). Under resting conditi
作者
鲁翠萍
王香华
彭菊兰
LU Cuiping;WANG Xianghua;PENG Julan(Department of Obstetrics and Gynecoi Hospital of Longhua,Shenzhen 518109,Guangdong,China)
出处
《中国性科学》
2019年第9期105-110,共6页
Chinese Journal of Human Sexuality
关键词
产妇
物理疗法
盆底肌力
性功能障碍
Puerpera
Physiotherapy
Pelvic floor muscle strength
Sexual dysfunction
