用于产后性功能障碍患者的低频脉冲反馈电刺激和阴道哑铃训练联合性行为疗法的临床研究

Clinical study of low frequency impulse feedback electrical stimulation, vaginal dumbbell training combined with sexual behavior therapy for postpartum sexual dysfunction

目的探讨低频脉冲反馈电刺激、阴道哑铃训练联合性行为疗法在产后女性性功能障碍康复治疗中的应用价值。方法选取2017年8月至2019年2月深圳市龙华中心医院诊治的80例产后性功能障碍患者作为研究对象。按照随机数字表法将其平均分为观察组与对照组,每组40例患者。观察组患者在对照组治疗基础上给予低频脉冲反馈电刺激和阴道哑铃训练及性行为疗法,对照组患者实施常规盆底肌肉锻炼,两组患者均连续治疗4周。比较两组患者治疗前后阴道动态压力变化、盆底功能(PFDI-20评分、PFIQ-7评分)、负性情绪(SAS评分、SDS评分)、性功能(FSFI评分)和生活质量(SF-36评分)改善情况。结果①阴道动态压力:治疗后,两组患者阴道动态压力均比治疗前有所增加,且观察组高于对照组(均P<0.05);②盆底功能:治疗后,两组患者PFDI-20评分、PFIQ-7评分均比治疗前有所降低,且观察组低于对照组(均P<0.05);③负性情绪:治疗后,两组患者SAS评分、SDS评分均比治疗前有所降低,且观察组低于对照组(均P<0.05);④性功能:治疗后,两组患者FSFI评分均比治疗前有所提高,且观察组高于对照组(均P<0.05);⑤生活质量:治疗后,两组患者SF-36评分均比治疗前有所提高,且观察组高于对照组(均P<0.05)。结论低频脉冲反馈电刺激和阴道哑铃训练联合性行为疗法可以有效增加患者阴道动态压力,改善盆底功能和负性情绪,有利于提高患者性功能,促进患者生活质量改善,可以在临床中推广应用。

Objective To explore the application value of low frequency pulse feedback electrical stimulation, vaginal dumbbell training and sexual behavior therapy in the rehabilitation of postpartum female sexual dysfunction. Methods 80 patients with postpartum sexual dysfunction in Shenzhen Longhua Central Hospital from August 2017 to February 2019 were divided randomly into observation group(40 cases) and control group(40 cases). The control group applied conventional pelvic floor muscle exercise. On this basis, the observation group was added low frequency pulse feedback electrical stimulation, vaginal dumbbell training and sexual behavior therapy. Both groups were treated continuously for 4 weeks. Changes in vaginal dynamic pressure changes, pelvic floor function(PFDI-20 score, PFIQ-7 score), negative emotion(SAS score, SDS score), sexual function(FSFI score) and quality of life(SF-36 score) were compared before and after treatment in the two groups. Results ① Vaginal dynamic pressure:Vaginal dynamic pressure values were increased after treatment in the two groups and the values of observation group were higher than those of the control group(all P<0.05). ② Pelvic floor function:PFDI-20 and PFIQ-7 scores were decreased after treatment in two groups and the scores of observation group were lower than those of the control group(all P<0.05). ③ Negative emotion:SAS and SDS scores were decreased after treatment in two groups and the scores of observation group were lower than those of the control group(all P<0.05). ④ Sexual function:The FSFI scores were increased after treatment in two groups, and the scores of observation group were higher than those of the control group(all P<0.05). ⑤ Quality of life:The scores of SF-36 were increased after treatment in two group, and the scores of observation group were higher than those of the control group(all P<0.05). Conclusions Low-frequency pulse feedback electrical stimulation, vaginal dumbbell training and sexual behavior therapy can effectively increase the vaginal dynamic pressure, improve pelvic floor function, negative emotion, sexual function and quality of life, which should be applied in clinical treatment.