摘要
目的:探讨综合康复疗法对女性压力性尿失禁及性功能的影响,提高患者治疗效果。方法:选取2011年4月至2015年7月期间我院收治的女性压力性尿失禁患者220例,随机分为两组,使其有可比性。对照组患者实施单纯盆底肌锻炼,观察组患者实施综合康复治疗。对两组患者盆底肌力进行评价,并采用尿垫试验计量漏尿量;采用国际女性性功能评估量表(BISF-W)对两组患者性功能进行评价。结果:干预前两组患者盆底肌力评分、尿垫试验漏尿量以及性功能评分差别不大,差异无统计学意义(P>0.05)。经过干预,观察组和对照组盆底肌力评分分别为(3.73±0.19)分和(3.22±0.20)分,观察组明显高于对照组;两组尿垫试验漏尿量分别为(3.58±0.18)g和(4.63±0.24)g,观察组明显低于对照组;观察组患者性欲、性唤起、性高潮、性心理、性行为异常以及射精时间评分分别为(163.65±15.04)分、(154.29±11.77)分、(159.28±13.52)分、(156.71±12.44)分、(167.73±12.08)分和(169.37±12.48)分,均明显高于对照组,上述比较两组差异有统计学意义(P<0.05)。结论:通过综合康复疗法治疗女性压力性尿失禁可以更好的改善患者的症状、提高盆底肌力,并改善患者的性功能。
Objectives： To investigate the effect of comprehensive rehabilitation therapy for female stress urinary incontinence and sexual function,in order to improve treatment outcomes. Methods： 220 female patients with stress urinary incontinence in our hospital from April 2011 to July 2015 were randomly divided into two groups.Patients in the control group received simple pelvic floor muscle exercise and those in the observation group were given comprehensive rehabilitation therapy. The pelvic floor muscle strength of the two groups was evaluated,and the leak volume was measured using urine pad; the sexual function was evaluated with the use of international female sexual function assessment scale（ BISF- W）. Results： Before intervention,differences in the pelvic floor muscle strength score,leak volume and sexual function scores between the two groups were not statistically significant（ P〉0. 05）. After the intervention,the pelvic floor muscle strength scores of observation group and control group were（ 3. 73 ± 0. 19） points and（ 3. 22 ± 0. 20） points respectively,with significant difference; the leak volume of the two groups was（ 3. 58 ± 0. 18） g and（ 4. 63 ± 0. 24） g,i. e. that of the observation group was significantly lower than the control group; the libido,arousal,orgasm,sexual psychology,sexual behavior,and abnormal ejaculation time of observation group was（ 163. 65 ± 15. 04）,（ 154. 29 ± 11. 77）,（ 159. 28 ± 13. 52）,（ 156. 71 ± 12. 44）,（ 167. 73 ± 12. 08） and（ 169. 37 ± 12. 48） respectively,significantly higher than the control group. All the differences mentioned above were statistically significant（ P〈0. 05）. Conclusions： Comprehensive rehabilitation therapy can improve the symptoms,pelvic floor muscle strength and sexual function of female patients with stress urinary incontinence.
出处
《中国性科学》
2016年第8期65-67,共3页
Chinese Journal of Human Sexuality
关键词
综合康复疗法
女性
压力性尿失禁
性功能
Comprehensive rehabilitation therapy
Female
Stress urinary incontinence
Sexual function
