生物反馈电刺激联合心理干预对产后女性性功能障碍的治疗效果分析

Effect of biofeedback electrical stimulation combined with psychological intervention on postpartum female sexual dysfunction

摘要:

目的 探讨生物反馈电刺激联合心理干预对产后女性性功能障碍（FSD）的治疗效果。方法 选 取2014 年1 月-2016 年12 月河北医科大学第一医院盆底康复中心收治的产后42 d FSD 患者400 例作为研 究对象，根据随机信封抽签原则分为观察组与对照组各200 例，对照组给予一般产后健康教育，观察组给予生 物反馈电刺激联合心理干预，持续观察3 个月。结果 观察组治疗后盆底肌力改善率优于对照组（P <0.05）。 观察组与对照组治疗后的膀胱初感充盈量与最大充盈量均高于治疗前（P <0.05），同时治疗后观察组的膀胱 初感充盈量与最大充盈量高于对照组（P <0.05）。治疗后发现观察组患者的焦虑与抑郁评分比对照组患者低 （P <0.05），同时治疗后观察组的焦虑和抑郁评分也低于对照组（P <0.05）。治疗后观察组的1 个月性生活次 数与性高潮频率都高于对照组（P <0.05），且观察组的性交痛发生率低于对照组（P <0.05）。结论 生物反馈 电刺激联合心理干预治疗 FSD 能有效改善膀胱的生物学功能，提高盆底肌力，有效缓解患者的焦虑与抑郁程 度，从而提高性生活质量。

Abstract:

Objective To explore the effect of biofeedback electrical stimulation combined with psychological intervention on postpartum female sexual dysfunction (FSD). Methods From January 2014 to December 2016, 400 patients with postpartum 42 d FSD treated in the Pelvic Floor Rehabilitation Center of our hospital were selected as the research objects. According to the random envelope drawing principle, they were equally divided into observation group and control group with 200 patients in each group. The patients of the control group were given general postpartum health education, those of the observation group were given the biological feedback electrical stimulation combined with psychological intervention, the continuous observation cycles in the two groups were 3 months. Results The pelvic floor muscle strength improvement rate in the observation group was significantly higher than that in the control group (P < 0.05). The early bladder filling volume and the maximum filling volume after treatment in the observation group and the control group were all significantly higher than those before treatment (P < 0.05), while the early bladder filling volume and the maximum filling volume after treatment in the observation group were significantly higher than those in the control group (P < 0.05). The anxiety and depression scores after treatment were significantly lower than those before treatment in both groups (P < 0.05), and the anxiety and depression scores after treatment in the observation group were also significantly lower than those in the control group (P < 0.05). After treatment, the 1-month sexual life frequency and orgasm frequency in the observation group were higher than those in the control group (P < 0.05), and the incidence of coital pain in the observation group was significantly lower than that in the control group (P < 0.05). Conclusions For postpartum FSD, biofeedback electrical stimulation combined with psychological intervention can effectively improve the biological function of the bladder and pelvic muscle strength, alleviate the anxiety and depression of patients, thereby improve the quality of sexual life.