圆房失败女性阴道痉挛的影响因素分析  

Analysis of influencing factors of vaginal spasm in women with unconsummated marriage

作　　者：张颖[1] 郑淑娟[2] 张恩思 秦雪 崇武 车晓艳[2] Zhang Ying;Zheng Shujuan;Zhang Ensi;Qin Xue;Chongou;Che Xiaoyan(Drum Touer Clinical Medical College of Jiangsu Universily,Zhernjiang Jiangsu 212013;Department of Andrology,Nanjing University School of Medicine Affiliated Drum Tower Hospital,Nanjing Jiangsu 210000,P.R.China)

机构地区：[1]江苏大学鼓楼临床医学院,江苏镇江212013 [2]南京大学医学院附属鼓楼医院男科,江苏南京210000

出　　处：《中国计划生育和妇产科》2024年第4期82-86,共5页Chinese Journal of Family Planning & Gynecotokology

基　　金：南京鼓楼医院一般课题(项目编号:2023-R172);中国心理卫生协会护理心理专业委员会“2022~2023年度护理心理科学研究规划课题”重点课题(A类)(项目编号:22-23-42);江苏大学第22批科研立项课题(项目编号:22A483)。

摘　　要：目的调查分析因圆房失败来访夫妻中女性阴道痉挛的影响因素,为探索阴道痉挛的性治疗方法提供依据。方法选取2020年1月至2022年12月在南京鼓楼医院就诊的94位因圆房失败前来就诊的女性,选取岳文浩提供的阴道痉挛诊断量表,结合性治疗师的临床评估,采用1∶1非配对方式分为阴道痉挛组(n=47)与非阴道痉挛组(n=47)。两组给予基本情况量表、性欲低下量表、性兴奋障碍量表、性交疼痛量表及性厌恶量表调查,比较两组相关资料的差异。结果两组在婚龄、病程、婚前性行为、性经验、性交疼痛、性交恐惧、性厌恶方面差异具有统计学意义(P<0.05)。受教育程度、性知识、经济状况方面差异无统计学意义(P>0.05)。结论性交疼痛、性厌恶、性交恐惧、夫妻情感关系是阴道痉挛的影响因素,建议性治疗师给予患者PLISSIT干预模型、放松训练、认知行为疗法、系统脱敏疗法、性感集中训练几个方面的治疗,从而改善性观念、提高性唤起、减轻性交疼痛,克服性交恐惧、性厌恶,增进夫妻亲密关系,最终达到性及家庭的和谐。Objective To investigate and analyze the influencing factors of female vaginal spasm in visiting couples due to unconsummated marriage,and to provide evidence for exploring the sexual treatment of vaginal spasm.MethodssFrom January2020 to December 2022,94 women who came to Nanjing Drum Tower Hospital for unconsummated marriage were selected.The diagnostic scale of vaginal spasm provided by Yue Wenhao was selected.Combined with the clinical evaluation of sex therapists,they were divided into vaginal spasm group(n=47)and non-vaginal spasm group(n=47)by 1:1 unpaired method.The two groups were given the basic situation scale,the low libido scale,the sexual excitement disorder scale,the sexual intercourse pain scale and the sexual aversion scale,and the differences of the relevant data between the two groups were compared.Results There were statistically significant differences between the two groups in marital age,course of disease,premarital sexual behavior,sexual experience,sexual pain,sexual fear,and sexual aversion(P<0.05).There was no statistically significant dfference in education level,sexual knowledge,and economic status(P>0.05).Conclusion Sexual pain,sexual aversion,sexual fear and marital emotional relationship are the influencing factors of vaginal spasm.It is suggested that sex therapists should give patients PLISSIT intervention model,relaxation training,cognitive behavioral therapy,systematic desensitization therapy and sexual concentration training,so as to improve sexual concept,improve sexual arousal,relieve sexual pain,overcome sexual fear and sexual aversion,enhance the intimate marital relationship,and finally achieve sexual and family harmony.

关 键 词：阴道痉挛 女性性功能障碍 影响因素 性治疗 

分 类 号：R711.77[医药卫生—妇产科学]