生物反馈电刺激治疗围绝经期女性性功能障碍及对盆底肌力影响  

Efficiency of biofeedback electrical stimulation for treating perimenopausal women with sexual dysfunction and its influence on their pelvic floor muscle strength

作　　者：勾明月 李云芳[1] 王小燕 GOU Mingyue;LI Yunfang;WANG Xiaoyan(Langfang People's Hospital,Langfang,Hebei Province,065000)

机构地区：[1]河北省廊坊市人民医院,065000

出　　处：《中国计划生育学杂志》2023年第5期1094-1098,共5页Chinese Journal of Family Planning

基　　金：2020年廊坊市科学技术研究与发展计划(第二批)自筹经费项目(2020013110)。

摘　　要：目的:分析生物反馈电刺激联合雌激素和Kegel训练法盆底肌肉康复训练治疗围绝经期女性性功能障碍(FSD)疗效及对盆底肌力的影响。方法:选择2020年5月-2022年5月本院妇产科就诊的围绝经期FSD患者80例,随机数据表法为两组各40例,对照组给予阴道内局部应用雌激素联合Kegel训练法盆底肌肉康复训练,观察组在对照组基础上联合应用生物反馈电刺激治疗,均连续治疗8周。对两组治疗前后女性性功能指数量表(FSFI)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及盆底肌力分级进行评价和对比。结果:治疗后两组FSFI评分较治疗前升高,SAS评分和SDS评分均较治疗前下降(P<0.05),观察组治疗后FSFI评分(31.18±2.31分)及盆底肌力分级均高于对照组(23.34±5.08分),SAS评分(44.06±3.35分)和SDS评分(45.81±5.22分)均低于对照组(53.54±2.39分、57.10±3.61分)(均P<0.05)。结论:围绝经期FSD患者局部应用雌激素基础上联合应用生物反馈电刺激和Kegel训练法进行盆底肌肉康复,能够显著改善患者性功能和心理状态,提升盆底肌力水平。Objective:To analyze the efficiency of biofeedback electrical stimulation combined with pelvic floor muscle rehabilitation by Kegel training for treating perimenopausal women with female sexual dysfunction(FSD),and to study its influence on the pelvic floor muscle strength of the women.Methods:80 perimenopausal women with FSD were se-lected as the study subjects from May 2020 to May 2022.These women were divided into two groups(40 cases in each group)by the random number table method.The women in the control group were given pelvic floor muscle rehabilita-tion training by Kegel training combined with local application of estrogen in the vagina for 8 weeks continuously.The women in the study group were treated with biofeedback electrical stimulation on the basis of the treatment in the con-trol group for 8 weeks continuously.The scores of Female Sexual Function Index(FSFI),Self-rating Anxiety Scale(SAS),Self-rating Depress Scale(SDS),and the pelvic floor muscle strength grade of the women in the two groups before and after treatment were evaluated,and which of the women were compared between the two groups.Results:The FSFI scores of the women in the two groups after treatment had increased significantly,and the SAS and SDS scores of the women in the two groups after treatment had decreased significantly(P<0.05).The score of FSFI(31.18±2.31 points)of the women in the study group was significantly higher than that(23.34±5.08 points)of the women in the control group,and the pelvic floor muscle strength grade of the women in the study group was significantly higher than that of the women in the control group.The scores of SAS(44.06±3.35 points)and SDS(45.81±5.22 points)of the women in the study group were significantly lower than those(53.54±2.39 points and 57.10±3.61 points)of the women in the control group(all P<0.05).Conclusion:The local application of estrogen combined with biofeedback electrical stimulation and Kegel training of pelvic floor muscle rehabilitation for treating the perimenopausal womenwith FS

关 键 词：围绝经期:女性性功能障碍 生物反馈电刺激 雌激素 Kegel训练法盆底肌肉康复训练 性功能 心理状态 盆底肌力 

分 类 号：R711.75[医药卫生—妇产科学]