骨盆肌康复治疗产后女性性功能障碍的效果观察

Effect observation of pelvic muscle rehabilitation in the treatment of female sexual dysfunction after childbirth

目的探讨骨盆肌康复治疗产后女性性功能障碍的临床效果。方法收集2012年8月~2013年8月在本院妇产科分娩并被诊断为产后性功能障碍的患者106例作为研究对象,按照随机的原则将研究对象分为两组,各53例,对照组采用发放有关产后性功能障碍的宣传资料进行健康教育,观察组在此基础上由专业医师帮助其实施骨盆肌康复治疗。结果治疗前,两组的阴道肌张力均小于Ⅳ级;治疗后,观察组基本恢复正常及完全恢复正常发生率为79.25%（42/53）,对照组仅为33.96%（18/53）,差异有统计学意义（P〈0.05）。治疗前,观察组、对照组性交疼痛发生率分别为62.26%、49.21%,差异无统计学意义（P〉0.05）;治疗后,观察组、对照组性交疼痛发生率分别为7.94%、42.86%,差异有统计学意义（P〈0.05）。治疗前,两组性交频率比较差异无统计学意义（P〉0.05）;治疗后,观察组性交频率≥3次/月发生率为73.6%（39/53）,高于对照组的20.8%（11/53）,差异有统计学意义（P〈0.05）。治疗前,两组性生活质量比较差异无统计学意义（P〉0.05）;治疗后,观察组性生活质量高的比率为49.1%（26/53）,高于对照组的3.8%（2/53）,差异有统计学意义（P〈0.05）。结论骨盆肌功能康复治疗可显著改善产后女性性功能障碍的症状,提高患者的性生活质量。

Objective To explore the clinical effect of pelvic muscle rehabilitation in the treatment of female sexual dysfunction after childbirth. Methods 106 female patients with postpartum sexual dysfunction in our department from August 2012 to August 2013 were selected as research objects.According to the principle of random,they were evenly divided into two groups,each group of 53 cases.In the control group,promotional material related to postpartum sexual dysfunction was delivered for health education,while in the observation group,on the basis of the control group,pelvic muscle rehabilitation at the aid of professional doctor was added. Results Before rehabilitation,the vaginal muscular tension in two groups were both less than level IV .After therapy,the rate of patients returning to normal basically and completely to normal was 79.25%（42/53）,while in the control group,the rate was only 33.96%（18/53）,with a statistical difference （P〈0.05）.Before rehabilitation,the incidence rate of dyspareunia in observation group and control group was 62.26% and 49.21% respectively,with no statistical difference （P〉O.05）.Afler therapy,the incidence rate of dyspareunia in observation group and control group was 7.94% and 42.86% in turn,with a statistical difference （P〈0.05）.There was no statistical difference in frequency of sexual intercourse in both groups before rehabilitation （P〉O.O5）.After therapy, sexual intercourse above 3 times per month in observation group took 73.6%（39/53）,and greatly improved,much higher than that in control group accounting for 20.8%（11/53）,with statistical difference（P〈0.05）.Before rehabilitation,quality of sexual life in two groups was compared,with no statistical difference （P〉0.05）.After treatment,the proportion of high quality of sexual life in observation group was 49.1%（26/53）,higher than that in control group accounting for 3.8%（2/ 53）,with a statistical difference （P〈O.05）. Conclusion Pelvic muscle rehabilitation can greatly improve symptom of fe- male sexual dysfunction after childbirth as well as quality of sexual life.