摘要
目的:探讨电刺激治疗阴道干涩症临床效果及对患者盆底功能的影响。方法:回顾性分析2022年6月-2023年6月在本院接受治疗的阴道干涩症患者临床资料,70例采用常规药物治疗者纳入药物组,70例常规治疗基础上应用电刺激治疗者纳入联合组,治疗后对比两组阴道健康指数评分(VHIS)、性功能指数(FSFI)及盆底肌表面肌电指标、盆底肌力指标的变化情况。结果:治疗后,两组VHIS子项阴道粘膜弹性、分泌物类型和黏稠度、阴道黏膜上皮完整性、阴道湿润度评分均升高且联合组(4.15±0.42分、4.31±0.49分、4.52±0.39分、4.49±0.41分)均高于药物组(3.26±0.36分、3.82±0.46分、3.91±0.41分、3.73±0.39分),两组FSFI子项性欲、主观性唤起能力、性活动时阴道润滑度、性高潮性生活满意度、性交痛及总分均升高且联合组均高于药物组,两组前静息阶段、Ⅱ类肌测试阶段、后静息阶段均降低,Ⅰ类肌测试阶段、耐力测试均升高,且联合组变化幅度大于药物组,两组Ⅰ类肌与Ⅱ类肌的持续收缩压、收缩维持时间均升高且联合组均高于药物组(均P<0.05);两组不良反应(17.1%、8.6%)未见差异(P>0.05)。结论:电刺激治疗能够进一步改善阴道干涩症患者的临床指标,缓解临床症状,增强患者盆底功能。
Objective:To explore the effect of the electrical stimulation for treating patients with vaginal dryness,and to study its influence on the pelvic floor function of the patients.Methods:A retrospective analysis on the data of the patients with vaginal dryness who received treatment from June 2022 to June 2023 was conducted.Among them,70patients who received conventional drug treatment were included in group A,and 70 patients who received electrical stimulation combined with conventional treatment were included in group B.After treatment,the changes of the scores evaluated by vaginal health index score(VHIS) and sexual function index(FSFI),and the values of the pelvic floor muscle surface electromyography indexes and pelvic floor muscle strength indexes of the patients were compared between the two groups.Results:After treatment,the scores of the VHIS subitems,such as vaginal mucosa elasticity,the secretion type and viscosity,the vaginal mucosal epithelial integrity and the vaginal wetness,of the patients in the two groups had increased,and which(4.15±0.42 points,4.31±0.49 points,4.52±0.39 points and 4.49±0.41 points)of the patients in group B were significantly higher than those(3.26±0.36 points,3.82±0.46 points,3.91±0.41points and 3.73±0.39 points) of the patients in group A.The scores of FSFI sub-items,such as the sexual desire,subjective sex arousal,the vaginal lubrication situation during sexual activity,the satisfaction with orgasm sexual life,the dyspareunia and the total score,of the patients in both groups had increased significantly,and which of the patients in group B were significantly higher than those of the patients in group A.The scores of the subitems and the total score of FSFI of the patients in both groups had decreased significantly in the pre-resting phase,in the type Ⅱ muscle testing phase and in the post-resting phase,but which of the patients in both groups had increased significantly in the type Ⅰmuscle testing phase and in the endurance test phase,and the changes of the scores
作者
朱秀秀
王慧兰
蒋秀婵
戚诗虹
ZHU Xiuxiu;WANG Huilan;JIANG Xiuchan;QI Shihong(Linhai Maternal and Child Health Care Hospital,Linhai,Zhejiang Province,317000;Hangzhou Obstetrics and Gynecology Hospital,Hangzhou,Zhejiang Province)
出处
《中国计划生育学杂志》
2024年第7期1548-1552,共5页
Chinese Journal of Family Planning
基金
2022临海市科技计划(2022YW18)。
关键词
阴道干涩症
电刺激
盆底功能
女性性功能
Vaginal dryness
Electrical stimulation
Pelvic floor function
Female sexual function
