盆底肌肉锻炼联合电刺激治疗轻中度子宫脱垂的临床效果及对性生活的影响

Clinical effect of pelvic floor muscle training plus electrical stimulation therapy in the sexual life of patients with mild to moderate uterine prolapse

目的探讨盆底肌肉锻炼联合电刺激治疗轻中度子宫脱垂的临床效果及其对性生活的影响。方法选取2016年1月至2017年6月湖北文理学院附属医院妇产科诊治的86例轻中度子宫脱垂患者的病历资料作为研究对象。遵循随机数字表法将其平均分为观察组与对照组,每组43例患者。观察组患者在对照组治疗的基础上采用生物电刺激联合治疗,对照组患者单纯采用盆底肌肉功能锻炼治疗,比较两组患者治疗效果及其对性生活的影响。结果观察组患者治疗后总有效率(97.7%)明显高于对照组患者(86.1%),其差异具有统计学意义(P<0.05)。治疗前,两组患者盆底功能评估测试指标比较,其差异均无统计学意义(均P>0.05)。治疗后3个月、12个月,观察组患者静息状态肌电值比治疗前有明显降低,最大收缩力、持续收缩力和协调能力比治疗前有所提升。两组患者治疗后盆底功能评估测试指标比较,其差异具有统计学意义(P<0.05)。治疗前,两组患者性生活评分比较,其差异均无统计学意义(均P>0.05);治疗后,观察组患者性生活满意度和性高潮满意度评分均比治疗前有所提高,且与对照组患者相同指标比较,其差异均具有统计学意义(均P<0.05)。结论针对轻中度子宫脱垂患者采取盆底肌肉锻炼联合电刺激治疗,可以促使患者盆底功能恢复,进而改善其性生活质量,促进家庭和谐美满。

Objective To explore the clinical effect of pelvic floor muscle training(PFMT) plus electrical stimulation therapy in the sexual life of patients with mild to moderate uterine prolapse. Methods 86 patients with mild to moderate uterine prolapse treated in Affiliated hospital of Hubei University of Arts and Science from January 2016 to August 2017 were selected. The subjects were randomly assigned to control group and observation group, with 43 cases in each group. Patients in the control group solely received PFMT therapy, while patients in the observation group additionally received electrical stimulation therapy. The therapeutic effect and sexual life was compared between the two groups. Results The total effective rate of the observation group was significantly higher than that of the control group(97.7% vs. 86.1%, P<0.05). Before the treatment, there were no significant difference in the pelvic floor function index between the two groups(all P>0.05). 3 months and 12 months after the treatment, the resting electromyogram value of the observation group was remarkably reduced, and the maximum contraction, sustained contraction and coordination capacity were better than before. There were significant differences in the pelvic floor function index between the two groups(P<0.05). Before the treatment, there were no significant difference in the sexual life scores between the two groups(all P>0.05). After the treatment, the sexual satisfaction and orgasm satisfaction of the observation group was significantly higher than before and than those of the control group(all P<0.05). Conclusions The PFMT plus electrical stimulation therapy can remarkably improve the patient′s pelvic floor function and sexual life quality.