Study on Female Sexual Dysfunction in Type 2 Diabetic Chinese Women

Objective To investigate the female sexual dysfunction(FSD)in type 2 diabetes patients,by comparing the sexual function between type 2 diabetic women and non-diabetic women with Female Sexual Function Index(FSFI).Methods 215 type 2 diabetic women and 107 age-matched non-diabetes women were enrolled with similar backgrounds.Their sexual functions were evaluated with FSFI.Metabolic parameters such as body mass index,blood lipid profile,hemoglobin AlC,plasma glucose were also collected.Results Total score of FSFI of the type 2 diabetic women were significantly lower than that of the non-diabetic controls(18.27±8.96 vs.23.02±5.78,P=0.000).Scores of the FSFI domains(desire,arousal,lubrication,orgasm,satisfaction,pain)of the type 2 diabetic group were also lower than those of the control group.According to the FSD criterion(FSFI〈25)available in China,the percentage of FSD in the type 2 diabetic group was significantly higher than that of the control group(79.2%vs.55.0%,P〈0.001).These trends seemed more prominent in pre-menopause subgroups.The logistic regression analysis indicated that age and diabetes were independent risk factors of FSD.Body Mass Index(BMI)also had influence in the diabetes group.Conclusion Findings from this study showed that there are more FDS in Chinese type 2 diabetic women than in their non-diabetic counterparts,especially in pre-menopause participants.

Female Sexual Dysfunction among Chinese Primiparous Women

Objective: To compare sexual function between primiparous women who underwent cesarean section (CS) and those who delivered vaginally. Methods: This cross-sectional study was conducted from October 2011 to April 2012 in Beijing, China. The target population included women aged 18 - 45 years who had given birth only once at least 6 months prior. The questionnaire was self-administered including female sexual function measured using the Female Sexual Function Index (FSFI). Data were analyzed using R software with the significance level of 0.05. Results: A total of 1456 participants were included and 102 women (7.0%) declined. The median age of the participants was 35 years. The median time interval after childbirth was 6 years. The median FSFI score was 26.9 and prevalence of female sexual dysfunction (FSD) was 34.2%. Both the FSFI scores and the proportions of individuals with sexual disorders were similar between women undergoing CS and those having vaginal delivery for both individual domains and the full scale. Conclusion: There were insignificant differences in female sexual function scores and FSD prevalence between women undergoing CS versus vaginal delivery.

Female Sexual Dysfunction and Timed Intercourse: A Prospective Study of 105 Infertile Women

Introduction: Timed intercourse (TI) based on ovulation monitoring is an effective and common choice for treatment of infertility. However, TI related female sexual dysfunction remains to be elucidated. Method and Material: This was a prospective study and 105 infertile women were included using the Female Sexual Function Index (FSFI) to assess their sexual function in general sexual life (GSL) and TI cycle. Results: The mean age of the patients was 29.4 ± 3.4 years and the duration of infertility was 1.8 ± 0.5 years. The mean score of FSFI was 25.2 in GSL cycle and 24.5 in TI cycle (p = 0.008). Scores of 5 out of 6 domains of FSFI during GSL cycle were significantly higher than the counterparts during TI cycle. Female sexual function was related to stress, which mostly came from patients themselves and parents. The stronger the stress was, the more domains of FSFI were affected. Conclusion: Infertility is an important factor affecting female sexual function, especially TI condition reduced FSFI score in several domains, and this may be related to infertile stress.

Relationship between Female Sexual Function and Depression or Anxiety in Japan

Background: Sexual dysfunction is sexual complaints or disorders. There are various causes, but the onset leads to deterioration of relationships and quality of life with partners. There is still a deep-rooted awareness that sexuality is a secret in Japan. Aim: This study aims to clarify the relationship between female sexual function and depression or anxiety. Method: Four hundred and fifty-eight Japanese healthy women who worked in four randomly selected medical institutions in Okinawa Prefecture in Japan from March to May 2012 were asked to agree to a consent form of their own free will and participate in self-reported questionnaires. For their evaluation, the Female Sexual Function Index (FSFI;Rosen et al. 2000, which includes the six domains of desire, arousal, lubrication, orgasm, pain, and satisfaction) and the Kessler Psychological Distress Scale (K6;Kessler, 2002, which includes the following six items: felt nervous, hopeless, restless or fidgety, worthless, depressed, and felt that everything was an effort) was used. Moreover, participants’ characteristics showed age, marriage, menopause, annual income, and drinking. In addition, JMP16.2 and R 4.2.0 was used to perform Pearson’s chi-square test, Fisher’s exact test, Mann-Whitney U test, Kruskal-Wallis test, Steel-Dwass test, Spearman’s Rank-Order Correlation, and Cronbach’s alpha. This study was approved by the university and the medical institutional review board (IRB). Results: 178 women were included in the final analysis, and the median (IQR, interquartile range) was 39 (32 - 48) years old, and the mean ± SD (standard deviation) was 40.2 ± 10.4 years old. The median (IQR) and mean ± SD of FSFI Total Score were 22.0 (9.3 - 26.6) and 19.2 ± 9.6. The median (IQR) and the mean ± SD of K6 Total Score were 3 (0 - 7) and 4.2 ± 4.5. 16% of all women with a K6 Total Score of 10 and more, and 5% of all women with a K6 Total Score of 13 and more considered a serious mental illness. There was no clear association between female sexual function and depression or anxiety in all health worker participants between FSFI Total Score and K6 Total Score by Spearman’s Rank-Order Correlation Coefficient (ρ). However, there was a moderate correlation between the K6 Total Score and the FSFI Total Score in health worker participants with a K6 Total Score of 11 or more (n =19, ρ = ?0.62, P = 0.005). Moreover, there was a weak correlation between them in both married and drinking women or married and non-menopausal women. In the Mann-Whitney U test where few participants had morbid depression, significant relationships were found in the association between a sexual function with high depression or anxiety, whereas the low group had a K6 cut-off value of 11. Conclusion: Female sexual morbidity for high depression or anxiety should be managed with interventions. Especially, the intervention for decreasing female sexual function in the K6 Total Score of 11 or more will be needed, and a randomized study is required for more evidence.

Brain activation patterns associated with sexual orientation in homosexual male and female: a case study with 3.0T fMRI

This study was performed to clarify the sexual orien-tation in a 19-year-old homosexual male and a 20-year-old homosexual female by using a functional magnetic resonance imaging (fMRI) with viewing male and female erotic nude pictures. The sex hor-mone levels of the homosexual male and female were in the normal range of healthy heterosexual males and females, respectively. In both homosexuals more significant brain activities were observed while view-ing the nude pictures of the same genetic sex than those of the opposite sex in the frontal cortex, parietal cortex, occipital cortex, anterior cingulate gyrus, amygdala, midbrain, hippocampus, orbitofrontal cortex, parahippocampal gyrus, thalamus, globus pallidus, and putamen, which are known to be re-sponsive to sexual arousal. The homosexual male and female showed a tendency toward higher sexual arousal to the same genetic sex as comparison with the opposite sex. This finding may be useful to un-derstand the different neural mechanisms on sexual arousal in homosexuals.

Comparison of Sexual Function in Primiparous Women Pre-Pregnancy and Postpartum: Difference of the Sexual Function after the Normal Vaginal Delivery and the Cesarean Section

Introduction: Sexual function is undoubtedly an important dimension of adult life. Due to all the conflicting results with regard to sexual function after the normal vaginal delivery (NVD) or the Cesarean Section (CS), in the present study, we aimed to compare the sexual function in women pre-pregnancy and postpartum and also after the NVD and CS. Materials and Methods: In this cohort study, two groups of healthy women, with antenatal normal pregnancies, who underwent NVD (n = 90) and CS (n = 113), were prospectively studied. The sexual function of the participants was assessed through a Female Sexual Function Index (FSFI) questionnaire in two stages: once before pregnancy and then within 3 to 6 months after delivery, which lasted from June 2011 to September 2012. The data were analyzed by descriptive and inferential statistics. Data were analyzed using chi-square test, Mann-Whitney test, and T Test. Results: Based on the data gathered from 206 women who completed the FSFI questionnaire in two stages, the mean (±SD) self-reported timing of the resumption of sexual activity was 8.9 ± 1.3. There was no significant statistical difference found between the two groups by timing of the resumption of sexual activity in NVD and CS groups. There was also no statistically significant difference found in the overall sexual function scores between the two groups (NVD vs. CS). The average score for female sexual function in desire, arousal, orgasm, and satisfaction within 3 to 6 months after delivery was significantly lower than that of their pre-pregnancy period (p < 0.004). The mean coitus in postpartum period was 1.84 ± 1.20 per week. Conclusion: Based on the findings of this study, there was no significant relationship between the mode of delivery and changes in sexual function. Therefore, it can be claimed that CS is not preferred to NVD with regard to preserving normal sexual functioning.

Sexual Function in Pregnant Women in the Public Health System

Introduction: Pregnancy is a unique situation and involves changes in sexuality. The aim is to evaluate sexual function and satisfaction in pregnant women under prenatal care provided by the public health system. Method: Cross-sectional study with pregnant women receiving ambulatory care in the public health system in the Southern region of Brazil conducted between November 2014 and September 2015. Results: 283 pregnant women were studied. The mean age was 27.7 ± 6.3 years;64% were white and 31.1% were nulliparous. In the total sample, 8.50% were in the first trimester of pregnancy, 37.4% were in the second trimester, and 54.1% were in the third trimester. The rate of global sexual dysfunction (score 26 points) was 55.5%, following the application of The Female Sexual Function Index (FSFI). Sexual dysfunction was significantly more prevalent in the third trimester (62%) compared to the first (33.3%) and second (50.9%) trimesters (p = 0.015). There was a significant difference in all domains, except in the desired domain, according to the trimester. Pregnant women in the third trimester showed significantly lower scores compared to those in the first trimester in the domains with significance. Conclusion: The prevalence of sexual dysfunction among pregnant women in the public system was high. Knowing that more than 50% of the pregnant women presented sexual dysfunction, it is essential to approach sexuality during prenatal care involving the couple.

Sexual dysfunctions and their treatment in liver diseases

Sexual dysfunction(SD)is a prevalent but very commonly ignored aspect in the treatment of liver diseases and cirrhosis.The etiology of SD is multifactorial and therefore treatment strategies are complex,especially in females.Phosphodiesterase inhibitors are useful and effective in erectile dysfunction in males but in females,no single drug is available for SD,therefore multimodal treatment is required depending upon the cause.The foremost and fundamental requirement in both genders is to be stress-free and have adequate control of liver diseases.Improved quality of life is helpful in improving SD and vice versa is also true.Therefore,patients suffering from liver diseases should come forward and ask for treatment for SD,and physicians should actively enquire about SD while history taking and evaluating these patients.SD results in deterioration of quality of life,and both are modifiable and treatable aspects of liver diseases,which are never addressed actively,due to social taboos and fears of SD treatment in the presence of liver diseases.The diagnosis of SD does not require costly investigations,as the diagnosis can be established based on validated questionnaires available for both genders,therefore detailed targeted history taking using questionnaires is essential.Data are emerging in this area but is still at an early stage.More studies should be dedicated to SD in liver diseases.

阴道哑铃结合热敏灸、Kegel运动训练治疗产后盆底功能障碍的效果

目的分析阴道哑铃结合热敏灸、Kegel运动训练治疗产后盆底功能障碍(PFD)的效果。方法选择2021年1月至2023年12月诊治的PFD初产妇118例,依照随机抽签法分为观察组和对照组,每组59例。对照组采用阴道哑铃结合Kegel运动训练,观察组给予阴道哑铃结合热敏灸、Kegel运动训练。比较2组治疗效果,干预前后阴道收缩力、盆底肌力、盆底功能、女性性功能指数、尿失禁分级情况。结果观察组总有效率[98.31%(58/59)]高于对照组[84.75%(50/59)](P<0.05)。干预后,观察组阴道收缩力相关指标、盆底肌力、性功能指数均高于对照组(P<0.01);干预后,观察组盆底功能相关评分低于对照组(P<0.01);干预后,观察组尿失禁分级优于对照组(P<0.05)。结论PFD患者经阴道哑铃结合热敏灸、Kegel运动训练干预盆底肌力、盆底功能、尿失禁分级得到了改善,女性性功能指数、阴道收缩力得到了提升,效果较好。

电刺激治疗阴道干涩症临床疗效及对盆底功能的影响

目的:探讨电刺激治疗阴道干涩症临床效果及对患者盆底功能的影响。方法:回顾性分析2022年6月-2023年6月在本院接受治疗的阴道干涩症患者临床资料,70例采用常规药物治疗者纳入药物组,70例常规治疗基础上应用电刺激治疗者纳入联合组,治疗后对比两组阴道健康指数评分(VHIS)、性功能指数(FSFI)及盆底肌表面肌电指标、盆底肌力指标的变化情况。结果:治疗后,两组VHIS子项阴道粘膜弹性、分泌物类型和黏稠度、阴道黏膜上皮完整性、阴道湿润度评分均升高且联合组(4.15±0.42分、4.31±0.49分、4.52±0.39分、4.49±0.41分)均高于药物组(3.26±0.36分、3.82±0.46分、3.91±0.41分、3.73±0.39分),两组FSFI子项性欲、主观性唤起能力、性活动时阴道润滑度、性高潮性生活满意度、性交痛及总分均升高且联合组均高于药物组,两组前静息阶段、Ⅱ类肌测试阶段、后静息阶段均降低,Ⅰ类肌测试阶段、耐力测试均升高,且联合组变化幅度大于药物组,两组Ⅰ类肌与Ⅱ类肌的持续收缩压、收缩维持时间均升高且联合组均高于药物组(均P<0.05);两组不良反应(17.1%、8.6%)未见差异(P>0.05)。结论:电刺激治疗能够进一步改善阴道干涩症患者的临床指标,缓解临床症状,增强患者盆底功能。

PLISSIT模式的性干预对女性癌症患者性功能影响的Meta分析

目的系统评价基于PLISSIT模式的性干预对女性癌症患者性功能的干预效果。方法计算机检索中国知网、万方数据库、维普数据库、the Cochrane Library、PubMed及Web of Science等数据库或平台中PLISSIT模式的性干预对女性癌症患者性功能影响的文献,检索时限为1974年至2022年12月30日。使用RevMan 5.3软件进行统计分析。结果共纳入8篇文献,共413例研究对象。Meta分析结果显示,与常规康复指导相比,PLISSIT干预能提高患者的性功能(MD=5.25,95%CI:3.14~7.36,P<0.001),改善女性癌症患者的性生活质量(MD=14.07,95%CI:11.31~16.84,P<0.001)。结论基于PLISSIT模式的性干预能够提高女性癌症患者的性功能,改善其性生活质量。

骶神经磁刺激联合生物反馈在以产后性交痛为主的FSD患者中的应用效果

目的:探讨骶神经磁刺激联合生物反馈在以产后性交痛为主的女性性功能障碍(FSD)患者中的应用效果。方法:选取2023年1—12月毕节市七星关区妇幼保健院收治的200例以产后性交痛为主的FSD患者作为研究对象,根据康复治疗方案的不同将研究对象分为观察组和对照组,各100例。对照组采用常规盆底功能康复治疗,观察组采用骶神经磁刺激联合生物反馈治疗,比较两组盆底肌力评分、性功能评分、盆底肌电值及雌激素水平。结果:观察组治疗15 d、30 d盆底肌力评分高于对照组,差异有统计学意义(P<0.05);观察组治疗30 d女性性功能调查量表(FSFI)评分高于对照组,差异有统计学意义(P<0.05);观察组治疗后盆底肌电值正常比例及雌二醇、孕酮和促卵泡激素水平高于对照组,差异有统计学意义(P<0.05)。结论:骶神经磁刺激联合生物反馈治疗可提高以产后性交痛为主要表现的FSD患者的盆底肌力评分、性功能评分、盆底肌电值正常比例及雌激素水平。

女性流浪精神障碍患者的临床特征及社会功能现状

目的分析女性流浪精神障碍患者的临床特征和社会功能现状。方法选取东莞市第七人民医院2022年6月至2023年5月收治的65例女性流浪精神障碍患者为调查对象,以同期60例普通女性精神障碍患者为对照,根据医院病历系统调查患者一般情况(年龄、精神障碍诊断类型、其他躯体疾病诊断、危险性评估等级),分别采用简明精神病评定量表(BPRS)、躯体生活自理量表(PSMS)、性自我防卫能力评定量表(CSSD)、住院精神病人社会功能评定量表(SSPI)评估和调查患者的病情严重程度、生活自理能力、性自我防卫能力、社会功能情况,并评估患者治疗过程的依从性。结果女性流浪精神障碍患者年龄主要分布在21~40岁,精神障碍类型以精神分裂症以及精神发育迟滞为主;入院时多伴营养不良、外伤、传染性疾病等躯体疾病;流浪组的女性精神障碍患者治疗过程依从率低于非流浪组,差异有统计学意义(P<0.05);流浪组患者的BPRS总分显著高于非流浪组,PSMS总分、CSSD总分以及SSPI各因子评分均低于非流浪组,差异有统计学意义(P<0.05)。结论女性流浪精神障碍患者入院时病情相对严重,躯体症状复杂,自理能力、性自我防卫能力、治疗依从性以及社会功能差,整体治疗困难,需要重点关注该类患者,采取相应的干预措施,促进患者康复。

长期使用不同给药方式的雌激素对绝经泌尿生殖道综合征的疗效及安全性分析

目的 探讨长期使用不同给药方式的雌激素对绝经泌尿生殖道综合征的疗效及安全性情况。方法 选取北京市顺义区妇幼保健院2019年2月至2022年1月收治的绝经泌尿生殖道综合征患者95例为研究对象,采用随机纸片法分为两组,治疗A组45例,经口服给药雌激素治疗,治疗B组50例,经阴道给予结合雌激素乳膏治疗。比较两组患者治疗前、治疗6个月后阴道症状评分、性交痛症状评分、女性性功能量表(FSFI)、阴道健康指数评分(VHIS)、尿失禁影响程度(IIQ-7)评分。比较两组患者临床症状加重、泌尿生殖道出血、泌尿生殖道感染、乳腺胀痛发生情况。结果 治疗前,两组患者阴道症状评分、性交痛症状评分、FSFI、VHIS、IIQ-7比较,差异均无统计学意义(P> 0.05);治疗6个月后,两组患者阴道症状评分、性交痛症状评分均低于同组治疗前,治疗B组IIQ-7低于同组治疗前,FSFI、VHIS均高于同组治疗6个月后,治疗B组阴道症状评分、性交痛症状评分、IIQ-7均低于治疗A组,FSFI、VHIS均高于治疗A组,差异有统计学意义(P <0.05)。两组患者临床症状加重、泌尿生殖道感染发生率比较,差异无统计学意义(P> 0.05);治疗B组患者泌尿生殖道出血、乳腺胀痛发生率低于治疗A组,差异有统计学意义(P <0.05)。结论 经阴道给予结合雌激素乳膏治疗绝经泌尿生殖道综合征患者,可以改善患者临床症状、提高性功能,安全性高,值得临床推广应用。

激光联合光动力疗法治疗女性外阴后联合尖锐湿疣对性功能的影响

目的:观察采用超脉冲CO_(2)激光联合5-氨基酮戊酸光动力疗法(ALA-PDT)治疗女性外阴后联合尖锐湿疣(CA)对患者性功能的影响。方法:干预组为63例女性外阴后联合CA患者,采用超脉冲CO_(2)激光联合ALA-PDT治疗,治疗间隔为7~10 d治疗1次,治疗12周。对照组:单纯采用超脉冲CO_(2)激光治疗女性外阴后联合CA患者63例,治疗间隔为7~10 d治疗1次,治疗12周。于治疗结束后12周筛选疣体完全清除者进行随访,评估治疗结束24周后对患者性功能的影响。结果:治疗结束12周后,干预组53例(84.13%)患者疣体完全清除;对照组21例(33.33%)患者疣体完全清除。治疗结束24周后,干预组治疗前、后女性性功能指数(FSFI)比较差异无统计学意义(P>0.05);与治疗前比较,对照组治疗后患者性高潮与性生活满意度下降,差异有统计学意义(P<0.05)。治疗结束半年后干预组FSFI评分[(28.38±1.67)分]高于对照组[(21.85±2.59)分],差异有统计学意义(P<0.05)。结论:超脉冲CO_(2)激光联合PDT治疗女性外阴后联合CA可减少对患者性功能的影响。

非手术治疗产后性功能障碍的研究进展

产后性功能障碍(postpartum sexual dysfunction,PSD)是女性发病率较高的疾病,病因复杂,治疗方法多样,包括心理治疗、药物治疗、行为治疗、物理康复治疗和手术治疗等,目前PSD主要治疗措施仍是非手术治疗。盆底科医生应对产后女性恢复性生活过程中遇到的问题给予专业指导;药物治疗可有效缓解阴道干燥和灼热感;电刺激和生物反馈均可减轻性交痛,且生物反馈比电刺激在提高性欲、增加阴道润滑度方面更有优势;磁刺激不仅能提升盆底肌力,对产后性交痛也有一定疗效;盆底肌筋膜痛手法治疗则需要与其他治疗方式联合应用;射频治疗多用于改善阴道松弛及干涩。综述PSD非手术治疗中的干预措施及其适应证并评价其治疗效果,为探寻PSD的最佳非手术治疗方法提供可靠临床依据。

生物反馈电刺激治疗围绝经期女性性功能障碍及对盆底肌力影响

目的:分析生物反馈电刺激联合雌激素和Kegel训练法盆底肌肉康复训练治疗围绝经期女性性功能障碍(FSD)疗效及对盆底肌力的影响。方法:选择2020年5月-2022年5月本院妇产科就诊的围绝经期FSD患者80例,随机数据表法为两组各40例,对照组给予阴道内局部应用雌激素联合Kegel训练法盆底肌肉康复训练,观察组在对照组基础上联合应用生物反馈电刺激治疗,均连续治疗8周。对两组治疗前后女性性功能指数量表(FSFI)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及盆底肌力分级进行评价和对比。结果:治疗后两组FSFI评分较治疗前升高,SAS评分和SDS评分均较治疗前下降(P<0.05),观察组治疗后FSFI评分(31.18±2.31分)及盆底肌力分级均高于对照组(23.34±5.08分),SAS评分(44.06±3.35分)和SDS评分(45.81±5.22分)均低于对照组(53.54±2.39分、57.10±3.61分)(均P<0.05)。结论:围绝经期FSD患者局部应用雌激素基础上联合应用生物反馈电刺激和Kegel训练法进行盆底肌肉康复,能够显著改善患者性功能和心理状态,提升盆底肌力水平。

盆底磁刺激的临床应用研究进展

盆底磁刺激是一种基于法拉第电磁感应定律的神经肌肉刺激技术,可以刺激神经去极化,导致盆底肌肉收缩。盆底磁刺激具有操作简单、无创无痛、副作用小等优点,在临床上得到越来越多的应用,并取得令人满意的疗效。本文就盆底磁刺激治疗尿失禁、大便失禁、功能性便秘、盆腔器官脱垂、慢性前列腺炎/慢性盆腔疼痛综合征、膀胱过度活跃症和女性性功能障碍等疾病做一综述,总结了盆底磁刺激的临床应用现状,希望为后续的临床治疗提供新的选择和方向。

Prevalence and Factors Associated with Female Sexual Dysfunction in Beijing, China

Background： Female sexual dysfunction （FSD） is a highly prevalent and often underestimated problem. However, large-scale, population-based epidemiological surveys of FSD are scarce in China. The present study was conducted to evaluate the prevalence and the potential risk factors of FSD across a selection of social groups in Beijing, China, based on the Female Sexual Function Index （FSFI）. Methods： A cross-sectional study based on the multiple-stage cluster sampling was performed with adult women throughout the Dongcbeng and Shunyi districts of Beijing. The Chinese version of FSFI was used, as well as questions on demographic characteristics, the disease-related context, and social relationships. Results： A total of 6000 consecutive women entered this study, with an actual response from 5024 women, corresponding to a response rate of 83.7%. A total of 4697 （78.3%） questionnaires were effective. The prevalence of adult FSD in Beijing was 2973 （63.3%） using a score of 26.55 as the boundary value, whereas the total mean FSFI score was 23.92 ~ 6.37. However, 1423 （30.3%） women did not seek help. By multivariate logistic regression analysis, the possible potential risk factors included age （odds ratio [OR] = 1.051 ）, dissatisfaction with the spouse＇s sexual ability （OR = 3.520）, poor marital affection （OR = 2.087）, spouse sexual difficulties （OR = 1.720）, dissatisfaction with married life （OR = 1.476）, living in a rural area （OR = 1.292）, chronic pelvic pain （OR = 1.261）, chronic disease （OR = 1.534）, previous pelvic surgery （OR = 1.605）, vaginal delivery （OR = 2.285）, lower education （OR = 3.449） and postmenopausal （OR = 3.183）. Conclusions： As suggested by the FSFI scores, female sexual problems are highly prevalent in Beijing. Dissatisfaction with the spouse＇s sexual ability, poor marital affection, sexual difficulties of the spouse, dissatisfaction with the marriage, rural life, CPP, and postmenopausal were conceivable risk factors for FSD in Beijing women.

集束化护理联合盆底康复训练在女性盆底功能障碍性疾病患者中的应用效果

目的:观察集束化护理联合盆底康复训练在女性盆底功能障碍性疾病(PFD)患者中的应用效果。方法:选取2020年4月至2021年4月该院收治的66例PFD患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各33例。对照组采用盆底康复训练,研究组在对照组基础上联合集束化护理,比较两组护理前后盆底功能障碍[盆底功能障碍问卷简表(PFDI-20)]评分、盆底肌肌力情况和性生活质量[性生活质量调查表(SLQQ)]评分。结果:护理3个月后,两组肛门直肠障碍、泌尿生殖障碍和盆腔器官脱垂等PFDI-20评分均低于入院时,且研究组低于对照组,SLQQ评分均高于入院时,且研究组高于对照组,差异有统计学意义(P<0.05);护理3个月后,研究组盆底肌肌力分级明显优于对照组,差异有统计学意义(P<0.05)。结论:集束化护理联合盆底康复训练应用于PFD患者可降低PFDI-20评分,改善盆底肌肌力情况,提高SLQQ评分,效果优于单纯盆底康复训练。