盆底生物反馈电刺激对产后性功能障碍初产妇的影响

Effect of pelvic floor biofeedback electrical stimulation onprimipara with postpartum sexual dysfunction

目的探讨盆底生物反馈电刺激对产后性功能障碍初产妇的影响。方法选取2017年1月至2019年1月海南省妇女儿童医学中心诊治的120例产后性功能障碍初产妇作为研究对象。随机分为观察组(n=60)和对照组(n=60)。两组患者均给予常规康复训练,观察组在此基础上给予盆底生物反馈电刺激,采用《产后性功能障碍诊断量化及评分表》观察并比较两组患者性功能。和其他相关临床疗效。结果两组患者治疗前《产后性功能障碍诊断量化及评分表》各项评分及总分差异均无统计学意义(P>0.05)。治疗后与对照组比较,观察组上述量表的各项评分及总分均升高,差异具有统计学意义(P<0.05)。治疗后观察组65%的患者盆底肌力恢复为Ⅲ级或以上,对照组为36.67%,差异具有统计学意义(P=0.003)。两组患者治疗前焦虑自我评分和抑郁自我评分差异均无统计学意义(均P>0.05)。治疗后,两组患者的焦虑自我评分、抑郁自我评分均明显低于治疗前,差异具有统计学意义(均P<0.05);与对照组比较,观察组患者焦虑自我评分和抑郁自我评分更低,差异具有统计学意义(P<0.05)。结论盆底生物反馈电刺激可以有效改善产后性功能障碍的初产妇性功能和心理健康状况,值得进一步推广。

Objective To investigate the effect of pelvic floor biofeedback electrical stimulation on primiparas with postpartum sexual dysfunction.Methods A total of 120 primiparas with postpartum sexual dysfunction diagnosed and treated in Hainan Women's and Children's Medical Center from January 2017 to January 2019 were selected and randomly divided into observation group and control group,with 60 cases in each.Patients in both groups were given routine rehabilitation training.On this basis,the observation group was given pelvic floor biofeedback electrical stimulation.The Postpartum Sexual Dysfunction Quantitative Diagnosis and Assessment Scale was used to compare the sexual function and other related clinical curative effect in the two groups.Results Before treatment,there was no statistical difference in the scores of the Postpartum Sexual Dysfunction Quantitative Diagnosis and Assessment Scale between the two groups(P>0.05).After treatment,the scores of the above scales were all increased in the observation group compared with the control group,with statistically significant differences(P<0.05).After treatment,the recovery rate of pelvic floor muscle toⅢlevel or above was 65%in the observation group and 36.67%in the control group,with statistically significant differences(P=0.003).There was no statistically significant difference in anxiety and depression self-score between the two groups before treatment(P>0.05).After treatment,the self-score of anxiety and depression in the two groups were significantly lower than those before treatment,with statistically significant differences(P<0.05).Compared with the control group,the self-score of anxiety and depression in the observation group were lower,with statistically significant differences(P<0.05).Conclusions Pelvic floor biofeedback electrical stimulation can effectively improve the sexual function and mental health of postpartum women with sexual dysfunction,which is worthy of further promotion.