阴道产女性产后性功能障碍调查分析及对策  

Investigation and analysis of postpartum sexual dysfunction in women with vaginal delivery and its countermeasures

作　　者：王成菊 WANG Cheng-ju(Xinyi People's Hospital,Xinyi,221400,China)

机构地区：[1]新沂市人民医院,江苏新沂221400

出　　处：《泰山医学院学报》2020年第12期899-901,共3页Journal of Taishan Medical College

摘　　要：目的探讨阴道产后女性性功能障碍的表现以及干预对策,改善阴道产后女性性生活质量。方法选取阴道分娩后出现性功能障碍的女性128例,将上述患者随机分为两组,影响性功能因素均无明显差异(P>0.05)。其中对照组61例,仅给予健康宣教和心理疏导;观察组67例,在对照组基础上指导患者进行盆底肌功能锻炼。从性欲、性唤起时间、性高潮频率、阴道湿润度、性交痛以及性满足感六个方面对两组患者性生活进行干预之后性生活质量改变情况进行统计。结果经过干预,观察组患者性欲增加、性唤起时间减少、性高潮频率增加、阴道湿润度增加、性交痛减少以及性满足感增加者均分别为76.12%、50.75%、40.30%、23.88%、80.60%和82.09%,对照组患者分别为13.11%、6.56%、8.20%、27.87%、27.87%和18.03%,观察组患者在性欲、性唤起时间、性高潮频率、性满足感的改善方面较对照组更明显,两组比较差异有统计学意义(P<0.05)。结论女性阴道产后性功能障碍的临床表现多样,其中很多患者可以同时有2种以上的临床症状,在对患者进行心理干预的同时,指导其进行盆底肌肉功能康复锻炼,有利于改善患者的性生活质量。Objective:To investigate the performance of sexual dysfunction in postpartum women and the intervention measures to improve the quality of sexual life in postpartum women.Methods:128 women with sexual dysfunction after vaginal delivery were selected to investigate the main manifestations of sexual dysfunction after vaginal delivery through questionnaire.The above patients were randomly divided into two groups.In the control group,61 patients were given health education and psychological counseling only.Observation group of 67 patients,on the basis of the control group guided patients were guided to have pelvic floor muscle function exercise.The changes in sexual quality of the two groups of patients were statistically analyzed from six aspects,including sexual desire,time of sexual arousal,frequency of orgasm,vaginal moisture,pain during intercourse and sexual satisfaction.Results:After intervention,the increase in the observation group of patients with sexual desire,sexual arousal time reduced,increased frequency of orgasm,vaginal increase in moisture,decrease pain during sex and sexual satisfaction increase were respectively 76.12%,50.75%,40.30%,23.88%,80.60%and 82.09%,control group patients were 13.11%,6.56%,8.20%,27.87%,27.87%and 18.03%,and compared with the control group,the patients in the observation group showed more significant improvement in sexual desire,sexual arousal time,frequency of orgasm,and sexual satisfaction,and the difference between the two groups was statistically significant(P<0.05).Conclusion:The clinical manifestations of postpartum sexual dysfunction in women are varied,and many of them can have more than two clinical symptoms at the same time.It is beneficial to improve the quality of sexual life of patients to guide them to conduct pelvic floor muscle function rehabilitation exercise while carrying out psychological intervention.

关 键 词：阴道产 性功能障碍 女性 对策 

分 类 号：R711[医药卫生—妇产科学]