摘要
目的通过对阴式全子宫切除术后患者性功能检测,了解患者手术后的性功能状态,并经电刺激治疗后再次检测,评估电刺激治疗对性功能障碍的疗效,为治疗该疾病提供更多的理论依据。方法选取2017年4月1日至2019年12月31日在北京大学深圳医院妇科行阴式全子宫切除的患者112例,将其随机分为干预组(57例)、对照组(55例),术后三个月均行盆底肌力及性功能检测,干预组检测后给予电刺激联合生物反馈治疗,对照组常规护理,一疗程后对两组患者再行检测,比较两组患者的检测结果,评估性功能检测的可信性及电刺激联合生物反馈治疗对改善性功能状态的作用。结果两组患者在电刺激联合生物反馈治疗前一般情况及盆底表面肌电检测总得分、棉签试验阳性率、初始肌电位数值、性反应图形建立实验、女性性功能指数(female sexual function index,FSFI)量表得分差异均无统计学意义(P>0.05),而经过治疗后,干预组明显优于对照组,数据差异有统计学意义(P<0.05)。结论盆底表面肌电、阴蒂棉签试验、初始肌电位、性反应图形建立试验可用于性功能的评估;电刺激联合生物反馈治疗可显著改善全子宫切除术后患者的盆底肌力,减少性功能障碍的发生。
Objective To detect the sexual function of patients after vaginal hysterectomy,and understand the state of sexual function of patients after operation,and evaluate the effect of electrical stimulation on sexual dysfunction by detecting again after electrical stimulation treatment,so as to provide more theoretical basis for the treatment of the disease.Methods A total of 112 women after vagina hysterectomy admitted to gynecology of Peking University Shenzhen Hospital from April 1,2017 to December 31,2019 were selected,and randomly divided into two groups.All patients were tested at 3 months postoperatively.Three months after surgery,57 patients in intervention group accepted electrical stimulation combined with biofeedback therapy and 55 patients in control group accepted routine care.After the therapy,tested all patients.The test results of the two groups were compared to evaluate the reliability of sexual function test and the effect of electrical stimulation combined with biofeedback therapy on improving sexual function.Results Before electrical stimulation combined with biofeedback treatment,there was no significant difference in general condition and total score of pelvic floor surface electromyography,positive rate of cotton swab test,initial muscle potential value,sexual response pattern establishment test,and female sexual function index(FSFI)scale score between the two groups(P>0.05),but after treatment,the intervention group was significantly better than the control group,with significant difference between the two groups(P<0.05).Conclusions Pelvic floor surface electromyography,clitoral swab test,initial muscle potential and sexual response pattern establishment test can be used to evaluate sexual function;electrical stimulation combined with biofeedback therapy can significantly improve pelvic floor muscle strength and reduce the occurrence of sexual dysfunction.
作者
梁金涛
李环
胡艳
杜辉
王苏梅
张巍颖
LIANG Jin-tao;LI Huan;HU Yan;DU Hui;WANG Su-mei;ZHANG Wei-ying(School of Clinical Medicine,Peking University Shenzhen Hospital,Shan Tou University,Department of Obstetrics and Gynecology,Peking University Shenzhen Hospital,Shenzhen 518036,China)
出处
《妇产与遗传（电子版）》
2020年第3期22-28,共7页
Obstetrics-Gynecology and Genetics (Electronic Edition)
基金
中国医促会关爱女性生殖健康多中心科研协作项目(CHFR2017-001)
中国整形美容协会2019年“AI温控射频技术治疗盆底相关疾病的多中心临床试验”项目基金支持(FRPR2020-wksp-05)。
关键词
性功能障碍
电刺激
全子宫切除
Sexual dysfunction
Electrical stimulation
Total hysterectomy
