盆底肌康复治疗产后女性性功能障碍的疗效观察

Therapeutic effect of pelvic floor muscle rehabilitation on postpartum female sexual dysfunction

目的探究并分析盆底肌康复治疗对产后女性性功能障碍的临床疗效。方法选取120例产后女性性功能障碍产妇,按照随机数字表法分为常规组与治疗组,每组60例。常规组产妇给予常规健康教育,治疗组在常规组基础上给予盆底肌康复治疗。比较两组产妇治疗后盆底综合肌力、性生活质量及性交痛发生率。结果治疗后治疗组盆底综合肌力Ⅲ级占比16.67%,低于常规组的75.00%,Ⅳ级占比70.00%高于常规组的16.67%,差异有统计学意义(P<0.05),两组Ⅴ级占比对比,差异无统计学意义(P>0.05)。治疗组产妇治疗后性生活质量低、中等占比低于常规组,高占比明显高于常规组,差异有统计学意义(P<0.05);治疗组性交痛发生率为6.67%,明显低于常规组的30.00%,差异有统计学意义(P<0.05)。结论盆底肌康复治疗产后女性性功能障碍疗效确切,可明显改善产妇盆底综合肌力,提高性生活质量,降低性交痛发生率,值得临床推广。

Objective To explore and analyze the clinical effect of pelvic floor muscle rehabilitation on postpartum female sexual dysfunction.Methods 120 postpartum women with sexual dysfunction were selected and divided into routine group and treatment group according to random number table method,with 60 cases in each group.The conventional group was given routine health education,and the treatment group was given pelvic floor muscle rehabilitation on the basis of the conventional group.The comprehensive pelvic floor muscle strength,sexual life quality and incidence of dyspareunia were compared between the two groups after treatment.Results After treatment,the ratio of gradeⅢmuscle strength in the treatment group was 16.67%lower than that in the conventional group(75.00%),and that in gradeⅣwas 70.00%higher than that in the conventional group(16.67%),the difference was statistically significant(P<0.05),while the ratio of gradeⅤmuscle strength in the two groups was not statistically significant(P>0.05).After treatment,the proportion of low sexual life quality and medium in the treatment group was lower than that in the conventional group,and the proportion of high was significantly higher than that in the conventional group,the difference was statistically significant(P<0.05).The incidence of dyspareunia in the treatment group was 6.67%,significantly lower than that in the conventional group(30.00%),and the difference was statistically significant(P<0.05).Conclusion Pelvic floor muscle rehabilitation treatment of postpartum female sexual dysfunction is effective,can significantly improve the maternal pelvic floor comprehensive muscle strength,improve the quality of sexual life,reduce the incidence of sexual pain,worthy of clinical promotion.