盆底肌锻炼对妇科疾病患者子宫全切术后性生活质量及满意度影响研究  

Effect of pelvic floor muscle exercise on postoperative sexual life quality and satisfaction evaluation in patients received hysterectomy

作　　者：陈红芳 王丽丰 陈万梅 高丽[3] 

机构地区：[1]东阳市妇幼保健院妇产科,浙江金华322100 [2]宁波市北仑区中医院妇产科,浙江宁波315800 [3]宁波市第二医院妇产科,浙江宁波315000

出　　处：《中国性科学》2016年第2期32-34,共3页Chinese Journal of Human Sexuality

摘　　要：目的：探究与分析盆底肌训练对子宫全切术后性生活的影响及患者满意度评价。方法：选取我院自2013年1月至2015年1月收治的45例接受子宫全切术的患者,将其作为临床研究对象,对该组患者进行盆底肌锻炼,对比锻炼前后盆底肌收缩时间、阴道内收缩压力、性唤起时间、获得高潮时间及对性生活的满意度。结果：该组患者干预前盆底肌收缩时间、阴道内压力、性唤起时间、获得高潮时间分别为（2.16±0.38）s、（26.54±5.34）mm H_2O、（28.7±6.7）min、（23.6±5.7）min;干预后盆底肌收缩时间、阴道内压力、性唤起时间、获得高潮时间分别为（5.54±0.48）s、（47.68±7.95）mm H_2O、（10.6±1.5）min、（12.4±2.6）min,组间相比差异显著（t=3.55,P〈0.05;t=3.21,P〈0.05;t=3.67,P〈0.05;t=3.72,P〈0.05）。该组患者干预治疗前的满意度为62.22%,干预治疗后的满意度为88.89%,组间相比差异显著（χ^2=6.78,P〈0.05）。结论：对子宫全切术患者实施盆底肌锻炼可显著提高其性生活质量及满意度,值得推广应用。Objectives： To explore and analyze the effect of pelvic floor muscle exercise on postoperative sexual life quality and satisfaction evaluation in patients received hysterectomy. Methods： 45 cases received hysterectomy from January 2013 to January 2015 in our hospital were selected as clinical research objects for pelvic floor muscle exercise. Time of pelvic floor muscle contraction,stress and shrinkage of the vagina,sexual arousal,time to orgasm,and satisfaction of sex before and after the exercise were compared. Results： Before the intervention,pelvic floor muscle contraction time,pressure inside the vagina,sexual arousal and time to orgasm were respectively（ 2. 16- 0. 38） s,（ 26. 54 ± 5. 34） mm H_2O,（ 28. 7 ± 6. 7） min and（ 23. 6 ± 5. 7） min. After the intervention,pelvic floor muscle contraction time,the pressure of the vagina,sexual arousal,time to orgasm were respectively（ 5. 54 ± 0. 48） s,（ 47. 68 ± 7. 95） mm H_2O,（ 10. 6 ± 1. 5） min and（ 12. 4 ± 2. 6） min. The differences were significant（ t = 3. 55,P〈0. 05,t = 0. 05,P〈0. 05,t = 0. 05,P〈0. 05,t = 0. 05,P〈0. 05）. Before the intervention,the satisfaction rate of patients was 62. 22%,which was 88. 89% after intervention. The difference was significant（ chi- square = 6. 78,P〈0. 05）. Conclusion： The implementation of the pelvic floor muscle exercise in patients received hysterectomy can significantly improve the quality of sexual life and satisfaction,which is worthy of popularization and application.

关 键 词：盆底肌锻炼 子宫全切术 性生活质量 性生活满意度 

分 类 号：R711[医药卫生—妇产科学]