温控射频联合电刺激生物反馈治疗女性产后性交痛的疗效分析  

Analysis of the Efficacy of Temperature-controlled RF Combined with Electrical Stimulation Biofeedback for Postpartum Dyspareunia in Women

作　　者：陈星慧 王媛 张丽池 陈爱菊 何军晶[1] 马丽莎[1] CHEN Xinghui;WANG Yuan;ZHANG Lichi;CHEN Aiju;HE Junjing;MA Lisha(Health Management center,Kunming City Maternal and Child Health Hospital,Kunming Yunnan 650031,China)

机构地区：[1]昆明市妇幼保健院健康管理中心,云南昆明650031

出　　处：《昆明医科大学学报》2025年第3期117-123,共7页Journal of Kunming Medical University

基　　金：昆明市卫生科技人才培养项目学科带头人(2022-SW(带头)-17);昆明市卫生科技人才培养项目医学技术中心(2022-SW(技)-14);云南省第一人民医院临床医学中心分中心开放项目(2022LCZXKF-SZ22)。

摘　　要：目的 探究温控射频与电刺激生物反馈联合应用于女性产后性交痛的治疗效果分析。方法 选择166例在昆明市妇幼保健院健康管理中心盆底康复医学中心就诊的产后盆底肌肉高张导致性交痛患者为研究对象,随机分为电刺激生物反馈治疗组(n=55)、射频治疗组(n=55)和电刺激生物反馈治疗联合射频治疗组(n=56)。电刺激生物反馈治疗组患者接受单纯电刺激生物反馈治疗;射频组患者也只采用射频治疗;电刺激生物反馈治疗联合射频治疗组患者在接受与电刺激生物反馈治疗组相同治疗的基础上,自第二周起开始接受妇科射频联合治疗方案。为评估三种治疗方法的效果,对三组患者在治疗前后的盆底改良牛津肌力测定结果、盆底表面肌电值测定数据以及性功能(FSFI)评分进行了对比分析。结果 经过治疗,联合治疗组的静息肌电平均值降低(P <0.05),这一变化表明肌肉的放松功能得到了明显的改善。治疗后联合治疗组的盆底改良牛津肌力测定、快肌(Ⅱ类纤维)肌电最大值、慢肌(Ⅰ类纤维)肌电平均值以及耐力测试肌电平均值均得到提升,并且在性功能(FSFI)评分方面也表现出了明显改善,且优于电刺激生物反馈治疗组和射频治疗组(P <0.05)。结论 温控射频联合电刺激生物反馈治疗方法在针对产后性交痛的治疗过程中,展现出了明显的治疗效果,为临床应用提供了广阔的前景。Objective To explore the therapeutic effects of temperature-controlled radiofrequency combined with electrical stimulation biofeedback on postpartum dyspareunia in women.Methods In this study,166 patients suffering from dyspareunia due to pelvic floor muscle hypertonicity who visited the Pelvic Floor Rehabilitation Medicine Center of our hospital were selected as subjects.They were randomly divided into three groups:the electrical stimulation biofeedback treatment group(55 cases),the radiofrequency treatment group(55 cases),and the combined electrical stimulation biofeedback and radiofrequency treatment group(56 cases).Patients in the electrical stimulation biofeedback therapy group received only electrical stimulation biofeedback therapy;patients in the radiofrequency group were treated solely with radiofrequency therapy;and patients in the combined treatment group began receiving gynecological radiofrequency treatment from the second week,in addition to the same treatment as the electrical stimulation biofeedback treatment group.To evaluate the effectiveness of the three treatment methods,comparative analyses were conducted on the pelvic floor modified Oxford muscle strength measurement results,pelvic floor surface electromyography values,and sexual function(FSFI)scores of the three groups of patients before and after treatment.Results After treatment,the average resting electromyography(EMG)value of the combined treatment group decreased(P<0.05),indicating a significant improvement in muscle relaxation function.After treatment,the combined treatment group showed significant improvements in the pelvic floor modified Oxford muscle strength test,the maximum EMG value of fast-twitch(type II fibers)muscles,the average EMG value of slow-twitch(type I fibers)muscles,and the average EMG value of endurance test,and also demon-strated significant improvements in sexual function(FSFI)scores,which were superior to the electrical stimulation biofeedback treatment group and the radiofrequency treatment group(P<0.05).Conclus

关 键 词：温控射频 电刺激生物反馈治疗 性交痛 

分 类 号：R737.33[医药卫生—肿瘤]