产后盆底功能障碍性疾病与女性性生活质量的相关性研究  

Correlation Between Postpartum Pelvic Floor Dysfunction and Female Sexual Life Quality

作　　者：黄云青 Huang Yunqing(Department of Women's Protection,Jinan Maternal and Child Health Hospital,Jinan 250001,China)

机构地区：[1]济南市妇幼保健院妇保科,山东济南250001

出　　处：《实用妇科内分泌电子杂志》2022年第13期13-15,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究产后盆底功能障碍性疾病与女性性生活质量的相关性。方法选取120例妇保科康复治疗室治疗的120例产后盆底功能障碍性疾病患者作为试验组,并采用利用肌电刺激-生物反馈-盆底肌锻炼治疗。选择相同时间段健康体检的120例产后女性作为对照组。比较试验组治疗前后盆底功能障碍性疾病恢复情况,并比较试验组治疗前后与对照组性生活质量。分析产后盆底功能障碍性疾病与其性生活质量的相关性。结果治疗1个月后,试验组出现压力性尿失禁、盆腔器官脱垂、慢性盆腔疼痛总发生率26.67%明显低于治疗前50.83%,差异有统计学意义(P<0.05)。治疗后,试验组性欲、性满意度、性唤起、阴道润滑度、性高潮及性交疼痛评分明显高于治疗前,差异有统计学意义(P<0.05)。试验组治疗前后的性生活质量评分低于对照组,差异有统计学意义(P<0.05)。产后盆底功能障碍性疾病与性生活质量间呈负相关(r=-0.379,P<0.05)。患者产后盆底功能障碍性疾病越严重,患者的性生活质量越低。结论产后盆底功能障碍性疾病与女性性生活质量具有显著关联,积极治疗盆底功能障碍性疾病可提高产后女性的性生活质量。Objective To study the correlation between postpartum pelvic floor dysfunction and female sexual life quality.Methods 120 patients with postpartum pelvic floor dysfunction treated in the rehabilitation treatment room of gynecology and Obstetrics Department were selected as the experimental group and treated with EMG stimulation,biofeedback and pelvic floor muscle exercise.120 postpartum women who underwent physical examination during the same period were selected as the control group.The recovery of pelvic floor dysfunction before and after treatment was compared between the experimental group and the control group,and the quality of sexual life was compared between the experimental group and the control group.To analyze the correlation between postpartum pelvic floor dysfunction and sexual quality.Results After 1 month of treatment,the total incidence of stress urinary incontinence,pelvic organ prolapse and chronic pelvic pain in experimental group was 26.67%,which was significantly lower than that before treatment(50.83%),and the difference was statistically significant(P<0.05).After treatment,the scores of sexual desire,sexual satisfaction,sexual arousal,vaginal lubrication,orgasm and sexual intercourse pain in the experimental group were significantly higher than those before treatment,and the differences were statistically significant(P<0.05).The score of sexual life quality before and after treatment in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was a negative correlation between postpartum pelvic floor dysfunction and sexual quality(r=-0.379,P<0.05).The more severe the postpartum pelvic floor dysfunction,the lower the quality of sexual life.Conclusion There is a positive relationship between postpartum pelvic floor dysfunction and female sexual life quality.Help postpartum women to treat pelvic floor dysfunction disease can improve the quality of postpartum women's sexual life.

关 键 词：产后盆底功能障碍性疾病 肌电刺激-生物反馈-盆底肌锻炼 性生活质量 

分 类 号：R714.6[医药卫生—妇产科学] R711.5[医药卫生—临床医学]