全子宫切除术后性功能障碍的检测及治疗效果研究

Detection and Treatment of Sexual Dysfunction after Total Hysterectomy

目的通过多种不同的方法对全子宫切除术后性功能状态进行检测,并通过电刺激治疗后再次检测,评估电刺激治疗对性功能障碍的疗效。方法选取2016年2月至2017年2月在北京大学深圳医院妇科行阴式全子宫切除的患者61例,将其随机分为干预组(31例)、对照组(30例)。术后三月均行性功能检测。干预组在术后三月给予电刺激联合生物反馈治疗,对照组常规护理,治疗一个疗程后对两组病人再次进行以上检测。比较两组患者的检测结果。结果 (1)干预组患者治疗前阴蒂棉签试验阳性13例(41.9%),对照组阳性16例(53.3%),两组之间差异无统计学意义(P>0.05)。(2)干预组患者治疗前性功能检测中,平均初始肌电位为(7.68±4.28)uV,对照组为(7.77±3.14)uV。两组之间的差异无统计学意义(P>0.05)。(3)干预组患者治疗前性反应图形建立试验中平均峰高为(74.03±14.37)。对照组患者为(73.60±9.19)。两组之间的差异无统计学意义(P>0.05)。(4)干预组患者电刺激治疗后阴蒂棉签试验阳性27例(87.1%),对照组阳性为19例(63.3%),两组之间差异具有统计学意义(P<0.05)。(5)干预组患者治疗后性功能检测中初始肌电位平均值为(11.97±6.71)uV。对照组患者为(7.90±3.74)uV。两组之间差异具有统计学意义(P<0.05)。(6)干预组患者治疗后性反应图形建立试验中峰高平均值为(83.65±5.65)。对照组患者为(71.23±8.21)。两组之间差异具有统计学意义(P<0.05)。结论电刺激联合生物反馈治疗可显著改善全子宫切除术后患者的盆底肌力,减少性功能障碍的发生。

Objective The sexual function status of the patients after total hysterectomy was examined by a variety of different methods, examined again after electrical stimulation treatment ,to evaluate the efficacy of electrical stimulation therapy for sexual dysfunction. Methods A total of 61 women after hysterectomy admitted to gynecology of Peking University Shenzhen Hospital from February 2016 to February 2017 were selected, and randomly divided into two groups. All patients were tested at three months postoperatively. Three months after surgery, 31 patients in intervention group accepted electrical stimulation combined with biofeedback therapy and 30 patients in control group accepted routine care. After the therapy, tested all patients. The results of two groups of patients were compared. Results （1）In the intervention group, 13 cases （41.9%） were positive for the test of the cotton swab test before treatment, 16 cases （53.3%） were positive in the control group. There was no significant difference between the two groups（P〉0.05）.（2）Before treatment, the averageInitial electromyography in intervention group were （7.68±4.28）uV and in control group were （7.77±3.14）uV. There was no significant difference between the two groups（P〉0.05）.（3）Before treatment,the averagescore of Sexual response pattern establishment test in intervention group were 74.03±14.37 and in control group were （73.60±9.19）. There was no significant difference between the two groups（P〉0.05）.（4）After treatment,27 cases （87.1%） were positive for the test of the cotton swab test in the intervention group, 19 cases （63.3%） were positive in the control group. There was significant difference between the two groups（P〈0.05）.（5）After treatment, the averageInitial electromyography in intervention group were （11.97±6.71） uV and in control group were （7.90±3.74）uV. There was significant difference between the two groups（P〈0.05）.（6）After treatment,the averagescore of Sexual response pattern establishment test in intervention group were （83.65±5.65） and in control group were （71.23±8.21）. There was significant difference between the two groups（P〈0.05）. Conclusion Electrical stimulation combined with biofeedback therapy can significantly improve the pelvic floor muscle strength of patients after total hysterectomy, reducing the occurrence of sexual dysfunction. Hysterectomy