凯格尔球运动结合盆底肌肉点刺激治疗初产妇产后性功能障碍的临床观察

Clinical observation on Kegel balls exercise combined with pelvic floor muscle point stimulation in treating primipara with postpartum female sexual dysfunction

目的研究凯格尔球运动结合盆底肌肉点刺激治疗初产妇产后性功能障碍(Female Sexual Dysfunction,FSD)的临床疗效。方法选取2015年1月至2017年1月成都医学院第一附属医院接诊的100例产后FSD初产妇为研究对象,采用随机数字表法将其平均分为联合组和对照组,每组50例患者。联合组患者在对照组基础上加用凯格尔球运动,对照组患者给予盆底肌肉点刺激和常规康复训练。两组患者均治疗3个月,比较其治疗前后盆底肌力、性生活质量评分、性活动频度和性交痛发生率的变化。结果治疗前,两组患者盆底肌力、性交痛发生率比较,其差异均无统计学意义(均P>0.05)。治疗后,两组患者盆底肌力均有显著增强(P<0.05);两组患者满意度、性兴奋、性欲望、性交痛、阴道润滑度、性高潮评分和性活动频度均有显著改善(均P<0.05);两组患者性交痛发生率均有显著下降(P<0.05);联合组患者盆底肌力、性生活质量各项指标评分、性活动频度和性交痛发生率改善幅度均大于对照组患者(均P<0.05)。结论凯格尔球运动结合盆底肌肉点刺激可以有效治疗产后FSD,改善患者性生活质量,减少性交痛发生,促进家庭和谐。

ObjectiveTo study the clinical efficacy of Kegel balls exercise combined with pelvic floor muscle point stimulation in the treatment of primipara with postpartum female sexual dysfunction (FSD). Methods100 patients with postpartum FSD admitted in the First Hospital Affiliated to Chengdu Medical College from January 2015 to January 2017 were enrolled in the study and were divided into the combined group (n=50) and the control group (n=50). The control group was given the pelvic floor muscle point stimulation and routine rehabilitation training, while the combined group was additionally given the Kegel ball exercise on the basis of the control group, all for 3 months. The pelvic floor muscle strength, score of sexual life quality, frequency of sexual activities and the incidence rate of sexual pain were compared between the two groups before and after treatment. ResultsBefore treatment, there was no statistically significant difference in the pelvic floor muscle strength and the incidence rate of sexual pain between the two groups (all P>0.05). After treatment, the pelvic floor muscle strength were significantly increased in the two groups (P<0.05), and the satisfaction, sexual excitement, sexual desire, sexual pain, vaginal lubrication and orgasm scores and the frequency of sexual activities were significantly improved in the two groups (all P<0.05) while the incidence rate of sexual pain was significantly decreased in the two groups (P<0.05), and the improvement in the pelvic floor muscle strength, sexual life quality and other indexes scores, and the frequency of sexual activities and the incidence of sexual pain in the combined group was greater than that in the control group (all P<0.05). Conclusions Kegel balls exercise combined with pelvic floor muscle point stimulation is effective in the treatment of postpartum FSD, which can improve the quality of sexual life of patients and reduce the incidence of sexual pain, hereby promoting family harmony.