口服孕三烯酮、子宫全切、放置曼月乐对子宫腺肌病患者性功能和婚姻质量的影响研究  

Study on the effects of oral administration of gestrinone,total hysterectomy,and Mirena on sexual function and marital quality of patients with adenomyosis

作　　者：吴泉[1] 周萍[1] 

机构地区：[1]安徽省淮南市第一人民医院妇产科,232007

出　　处：《中国妇幼保健》2015年第28期4790-4792,共3页Maternal and Child Health Care of China

基　　金：安徽省卫生厅医学研究课题资助〔13ZC0218〕

摘　　要：目的观察口服孕三烯酮、子宫全切、放置曼月乐对子宫腺肌病患者性功能和婚姻质量的影响。方法选取2012年1月～2013年3月间该院收治的子宫腺肌病患者81例。分别于治疗前、治疗6个月、治疗12个月时采用国际女性性功能评估量表、Olson婚姻质量调查问卷对患者进行调查。结果药物治疗组和曼月乐组患者治疗6个月及12个月后与治疗前相比性功能各方面评分均得到明显改善，差异有统计学意义（P〈0．05）。子宫全切组患者术后性唤起、性高潮及性心理评分与手术前相比差异均无统计学意义（P〉0．05），性欲方面评分明显低于手术前，性行为异常评分明显高于手术前，差异均有统计学意义（P〈0．05）。曼月乐组患者治疗后6个月及12个月各项性功能指标评分均明显优于同期药物治疗组，差异有统计学意义（P〈0．05）。药物治疗组和曼月乐组患者治疗6个月及12个月后与治疗前相比婚姻质量各方面评分均得到明显改善，差异有统计学意义（P〈0．05）；曼月乐组患者治疗后与同期药物治疗组患者相比婚姻质量改善程度较明显，差异有统计学意义（P〈0．05）。子宫全切组患者术后与治疗前相比婚姻质量各方面评分均明显降低，差异有统计学意义（P〈0．05）。结论放置曼月乐治疗子宫腺肌病，患者的性功能和婚姻质量提升最为明显，值得临床推广应用。Objective： To observe the effect of oral administration of gestrinone, total hysterectomy, and Mirena on sexual function and marital quality of patients with adenomyosis. Methods： Eighty-one patients with adenomyosis treated in the hospital from January 2012 to March 2013 were selected; International Sexual Function Assessment Scale for Women and Olson Marital Quality Questionnaire were used to survey the patients before treatment, at 6 and 12 months after treatment. Results： Compared with before treatment, all aspects of sexual function of patients in drug therapy group and Mirena group at 6 and 12 months after treatment were improved significantly （P〈0.05） . In total hysterectomy group, there was no statistically significant difference in sexual arousal, orgasm, sexual psychological scores of patients between before and after treatment （ P〉0. 05 ） ; the score of sexuality of patients after treatment was lower than that before treatment, the score of abnormal sexual behavior of patients after treatment was higher than that before treatment, there were statistically significant differences （ P 〈0. 05 ） . The scores of sexual function indexes at 6 and 12 months after treatment in Mirena group were statistically significantly higher than those in drug therapy group （P〈0. 05） . Compared with before treatment, the scores of all aspects of marital quality in drug therapy group and Mirena group at 6 and 12 months after treatment were improved significantly （ P〈0. 05 ） ; after treatment, marital quality of patients in Mirena group was improved significantly compared with drug therapy group （ P〈0. 05 ） . In total hysterectomy group, the scores of all aspects of marital quality after treatment decreased significantly compared with before treatment （ P〈0. 05 ） . Conclusion ： Promotion of sexual function and marital quality of patients with adenomyosis treated by Mirena is most obvious, so the method is worthy of clinical application and promotion.

关 键 词：子宫腺肌病 治疗方式 婚姻质量 

分 类 号：R737.3[医药卫生—肿瘤]