摘要
目的:探讨贇式盆底优化训练法对女性性功能障碍(FSD)的疗效及安全性。方法:选取2018年8月至2021年1月在复旦大学附属上海市第五人民医院门诊就诊的80例FSD患者作为研究对象,随机分为试验组和对照组,每组纳入40例病例。病例在我院确诊并转入对应社区接受治疗。试验组患者使用贇式盆底优化训练疗法治疗8周,对照组患者使用传统盆底肌训练方法8周,第0、4、8周分别进行评估。观察临床有效率(%),女性性功能指数(FSFI):包括性欲、性唤起、阴道润滑、性高潮、性满意度及性交疼痛评分,配偶性满意度,盆底肌力测定(肌张力、Ⅰ型肌力、Ⅱ型肌力)。结果:试验组34例完成治疗,对照组中36例完成治疗。两组间基线资料比较无统计学意义(P>0.05)。FSFI评分结果显示,试验组及对照组的总分在治疗4、8周较治疗前显著升高(P<0.05),治疗后8周,试验组比对照组升高更明显(P<0.05)。治疗第4、8周试验组有效率由52.8%升至72.2%,对照组由29.4%升至44.1%。试验组8周后改变较治疗前及治疗4周后均有明显差异(P<0.05),且与对照组相比改善更加明显(P<0.05)。组间比较发现,第4周时,两组间肌张力、Ⅰ型肌力改变无明显差异,至第8周时此二项间差异明显(P<0.05)。而在Ⅱ型肌力、配偶性满意度方面试验组与对照组在第4、8周均显现差异(P<0.05)。治疗过程中,未见严重不良反应发生。结论:贇式盆底优化训练疗法能改善FSD症状,效果优于传统盆底肌训练方法。两组均未见严重不良反应。
Objective:To study the effect and safety of Yun’s modified pelvic floor exercise(PFE)in the treatment of female sexual dysfunction(FSD).Methods:We enrolled 80 FSD patients from the Outpatient Department of Shanghai Fifth People’s Hospital from August 2018 to January 2021 and randomized them into an experimental(n=40)and a control group(n=40),the former treated by Yun’s modified PFE and the latter by traditional PFE,both for 8 weeks.After 0,4 and 8 weeks of treatment,we evaluated the clinical effect by comparing the female sexual function indexes(FSFI),including sexual desire,sexual arousal,vaginal lubrication,orgasm,sexual satisfaction and sexual intercourse pain,the male partners’sexual satisfaction,and the pelvic floor muscle strength between the two groups of patients.Results:Thirty-four of the patients in the experimental group and 36 in the control completed the treatment.There were no statistically significant differences in the baseline data between the two groups(P>0.05).The FSFIs were significantly improved in both the experimental and control groups after 4 and 8 weeks of treatment compared with the baseline(P<0.05),even more significantly in the experimental than in the control group at 8 weeks(P<0.05).The effectiveness rate was remarkably increased from 52.8%at 4 weeks to 72.2%at 8 weeks in the experimental group(P<0.05)and from 29.4%to 44.1%in the control(P<0.05),even more significantly in the former than in the latter group(P<0.05).Statistically significant differences were found in muscle tone and type I muscle strength between the two groups at 8 weeks(P<0.05)but not at 4 weeks(P>0.05).Type II muscle strength and partners’satisfaction were markedly higher in the experimental than in the control group at 4 and 8 weeks(P<0.05).No adverse events were observed in either of the two groups.Conclusion:Yun’s modified pelvic floor exercise can improve the symptoms of female sexual dysfunction,more effective than the traditional pelvic floor muscle exercise,and with no serious adverse reactions.
作者
陈洁
周丹
史朝亮
焦伟
黄婷
朱玲敏
王阳贇
施国伟
CHEN Jie;ZHOU Dan;SHI Chao-liang;JIAO Wei;HUANG Ting;ZHU Ling-min;WANG Yang-yun;SHI Guo-wei(Department of Urology/Fudan University Research Institution of Urology/Pelvic Floor Center of Minhang District,Shanghai Fifth People's Hospital Affiliated to Fudan University,Shanghai 200240,China;School of Health and Social Care,Shanghai Vocational College of Urban Construction,Shanghai 201415,China)
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2021年第11期986-990,共5页
National Journal of Andrology
基金
上海市医学重点专科(ZK2019A03)
上海市卫生和计划生育委员会科研课题(201940006)
上海市第五人民医院院级课题(2019WYZT02)。
关键词
女性性功能障碍
贇式盆底优化训练疗法
盆底肌肉训练
性功能指数
性满意度
female sexual dysfunction
Yun’s pelvic floor exercise
pelvic floor muscle training
sexual function index
sexual satisfaction
