骶神经磁刺激联合生物反馈在以产后性交痛为主的FSD患者中的应用效果  

Application Effect of Sacral Nerve Magnetic Stimulation Combined with Biofeedback in FSD Patients with Postpartum Sexual Pain as the Main Manifestation

作　　者：陈丽娟 CHEN Lijuan(Bijie City Qixingguan District Maternal and Child Health Care Hospital,Bijie 551700,China)

机构地区：[1]毕节市七星关区妇幼保健院,贵州毕节551700

出　　处：《中外医学研究》2024年第25期154-158,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨骶神经磁刺激联合生物反馈在以产后性交痛为主的女性性功能障碍(FSD)患者中的应用效果。方法:选取2023年1—12月毕节市七星关区妇幼保健院收治的200例以产后性交痛为主的FSD患者作为研究对象,根据康复治疗方案的不同将研究对象分为观察组和对照组,各100例。对照组采用常规盆底功能康复治疗,观察组采用骶神经磁刺激联合生物反馈治疗,比较两组盆底肌力评分、性功能评分、盆底肌电值及雌激素水平。结果:观察组治疗15 d、30 d盆底肌力评分高于对照组,差异有统计学意义(P<0.05);观察组治疗30 d女性性功能调查量表(FSFI)评分高于对照组,差异有统计学意义(P<0.05);观察组治疗后盆底肌电值正常比例及雌二醇、孕酮和促卵泡激素水平高于对照组,差异有统计学意义(P<0.05)。结论:骶神经磁刺激联合生物反馈治疗可提高以产后性交痛为主要表现的FSD患者的盆底肌力评分、性功能评分、盆底肌电值正常比例及雌激素水平。Objective:To explore the application effect of sacral nerve magnetic stimulation combined with biofeedback in female sexual dysfunction(FSD)patients with postpartum sexual pain as the main manifestation.Method:A total of 200 FSD patients with postpartum sexual pain as the main manifestation who admitted to Bijie City Qixingguan District Maternal and Child Health Care Hospital from January to December 2023 were selected as the research objects,the subjects were divided into the observation group and the control group according to the different rehabilitation treatment schemes,with 100 cases in each group.The control group was treated with routine pelvic floor function rehabilitation,and the observation group was treated with sacral nerve magnetic stimulation combined with biofeedback.The pelvic floor muscle strength score,sexual function score,pelvic floor myoelectric value and estrogen level were compared Chinese and Foreign Medical Research between two groups.Result:The pelvic floor muscle strength scores of the observation group at 15 d and 30 d of treatment were higher than those of the control group,and the differences were statistically significant(P<0.05);the female sexual function index(FSFI)score of the observation group at 30 d of treatment was higher than that of the control group,and the difference was statistically significant(P<0.05);the normal proportion of pelvic floor electromyography and the levels of estradiol,progesterone and follicle stimulating hormone in the observation group after treatment were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Sacral nerve magnetic stimulation combined with biofeedback can improve the pelvic floor muscle strength score,sexual function score,normal proportion of pelvic floor electromyography and estrogen level in FSD patients with postpartum sexual pain as the main manifestation.

关 键 词：女性性功能障碍 产后性交痛 骶神经磁刺激 生物反馈 性功能 雌激素 

分 类 号：R711.77[医药卫生—妇产科学]