手法按摩联合低频电刺激与生物反馈治疗性交痛效果观察

Observation of Manual Massage,Low-Frequency Electrical Stimulation and Biological Feedback in Treating the Dyspareunia

目的研究手法按摩+低频电刺激+生物反馈在性交痛中的效果。方法选择2021年6月—2022年9月晋江市妇幼保健院收治的79例性交痛患者,以随机数字表法分为两组,研究组40例接受手法按摩+低频电刺激+生物反馈治疗,对照组39例实施低频电刺激+生物反馈,治疗4周后评价总有效率,比较两组干预前后的性功能障碍评分、盆底肌力、尿流动力学指标、视觉模拟评分(visual analogue scale,VAS)、生活质量评分(quality of life,QOL),对比两组治疗结果。结果研究组总有效率为90.00%,高于对照组的71.79%(P<0.05)。两组干预前的性功能障碍评分差异无统计学意义(P>0.05);干预后研究组性生活质量、性欲望、总分均高出对照组(P<0.05)。两组干预前的盆底肌力差异无统计学意义(P>0.05);干预后研究组盆底肌力高于对照组(P<0.05)。两组干预前的VAS、QOL评分差异无统计学意义(P>0.05);干预后研究组VAS评分低于对照组,但QOL评分高于对照组(P<0.05)。两组干预前的尿流动力学指标差异无统计学意义(P>0.05);干预后研究组最大尿道压、腹压漏尿点压力、最大尿流率、最大尿道闭合压评分高于对照组(P<0.05)。结论手法按摩+低频电刺激+生物反馈的效果更为理想,能够缓解性功能障碍,改善盆底肌力及尿流动力学,快速降低疼痛,提高生活质量,值得推广。

Objective To study the clinical effects of manual massage,low-frequency electrical stimulation and biological feedback in treating the dyspareunia.Methods From June 2021 to September 2022,a total of 79 patients with sexual intercourse pain in Jinjiang Maternal and Child Health Hospital were selected and divided into two groups by random number table.40 patients in the study group were treated with manual massage+low frequency electrical stimulation+biofeedback,while 39 patients in the control group were treated with low frequency electrical stimulation+biofeedback.After four weeks of treatment,the total effective rate was evaluated.The scores of sexual dysfunction,pelvic floor muscle strength,urodynamic indexes,visual analogue scale(VAS)and quality of life(QOL)before and after the intervention were compared between the two groups,and the treatment results were compared between the two groups.Results The total effective rate in the study group(90.00%)was higher than control group(71.79%)(P<0.05).Before intervention,the sexual dysfunction scores between group were not significantly different(P>0.05);after intervention,the sexual life quality,sexual desire and total sexual function scores in the study group were significantly higher than control group(P<0.05);before intervention,the pelvic floor muscle strength between group was not significantly different(P>0.05);after intervention,the pelvic floor muscle strength in the study group was significantly higher than control group(P<0.05);before intervention,VAS and QOL scores between group were not significantly different(P>0.05);after intervention,VAS scores in the study group were significantly lower than control group,but QOL scores were higher than control group(P<0.05).There was no difference in urodynamic indexes between the two groups before intervention(P>0.05).After intervention,the maximum urethral pressure,abdominal pressure leak point pressure,maximum urinary flow rate and maximum urethral closure pressure in the study group were higher than those in the control group(P<0.05).Conclusion The effect of manual massage+low-frequency electrical stimulation+biofeedback is more ideal,which can relieve sexual dysfunction,improve pelvic floor muscle strength and urodynamics,rapidly reduce pain,and improve quality of life,and is worth promoting.