二氧化碳点阵激光联合体外电磁刺激治疗阴道松弛症的效果

Effect of carbon dioxide dot matrix laser combined with external electromagnetic stimulation in the treatment of vaginal laxity

摘要:

目的 探讨二氧化碳CO₂点阵激光联合体外电磁刺激治疗阴道松弛症的效果。方法 选取安徽省儿童医院2023年1月—2023年8月收治的80例阴道松弛症患者，按照随机数字表法分为对照组与观察组，每组40例。对照组采取体外电磁刺激治疗，观察组在对照组基础上联合CO₂点阵激光治疗，比较两组治疗前及治疗后1个月、2个月、3个月的疗效。结果 对照组与观察组治疗前及治疗后1个月、2个月、3个月的盆底肌力比较：①不同时间点的前静、快肌、慢肌盆底肌力比较，差异均有统计学意义（P <0.05）；②观察组与对照组前静、快肌、慢肌盆底肌力比较，差异均有统计学意义（P <0.05），观察组治疗后1个月、2个月、3个月前静盆底肌力较对照组低，快肌和慢肌盆底肌力较对照组高；③观察组与对照组的前静、快肌、慢肌盆底肌力变化趋势比较，差异均有统计学意义（P <0.05）。对照组与观察组治疗前及治疗后1个月、2个月、3个月的女性性功能量表（FS-FI）评分比较：①不同时间点的FS-FI评分比较，差异有统计学意义（P <0.05）；②观察组与对照组的FS-FI评分比较，差异有统计学意义（P <0.05）；③观察组与对照组的静息状态下FS-FI评分变化趋势比较，差异有统计学意义（P <0.05）。对照组与观察组治疗前及治疗后1个月、2个月、3个月的生活质量比较：①不同时间点的精力、生理功能、躯体功能评分比较，差异均有统计学意义（P <0.05）；②观察组与对照组的精力、生理功能、躯体功能评分比较，差异均有统计学意义（P <0.05）；③观察组与对照组静息状态下精力、生理功能、躯体功能评分变化趋势比较，差异均有统计学意义（P <0.05）。结论 对阴道松弛症患者采取CO₂点阵激光联合体外电磁刺激治疗，可显著改善患者盆底肌力，提高患者性生活质量和生活质量，值得推广。

Abstract:

Objective To investigate the effect of carbon dioxide (Carbon dioxide, CO₂) dot matrix laser combined with external electromagnetic stimulation in the treatment of vaginal laxity.Methods A total of 80 patients with vaginal laxity admitted to Anhui Provincial Children's Hospital from January 2023 to August 2023 were selected and divided into two groups by random number table method. The control group (n =40) was treated with external electromagnetic stimulation, and the observation group (n =40) was treated with CO₂ laser fractional therapy. The therapeutic effects of the two groups before and 1 month, 2 months and 3 months after treatment were compared.Results Comparison of pelvic floor muscle strength between the control group and the observation group at 1 month, 2 months and 3 months after treatment: there were statistically significant differences in pelvic floor muscle strength between anterior static, fast twitch and slow twitch twitch muscle strength at different time points (P <0.05), pelvic floor muscle strength was lower in the prestatic state and higher in the fast-twitch and slow-twitch states (P <0.05), there was a statistically significant difference in the change trend of pelvic floor muscle strength in anterior static, fast-twitch and slow-twitch muscles (P <0.05). Comparison of sexual function quality between the control group and the observation group at 1 month, 2 months and 3 months after treatment: the difference in FS-FI score between different time points was statistically significant (P <0.05), the difference was statistically significant in FS-FI score at resting (P <0.05), the difference was statistically significant in the comparison of FS-FI score at rest (P <0.05).Comparison of quality of life between the control group and the observation group at 1 month, 2 months and 3 months after treatment: there were statistically significant differences in the scores of energy, physiological function and physical function between different time points (P <0.05), there were statistically significant differences in the scores of energy, physiological function and physical function in the resting state (P <0.05), the change trend of energy, physiological function and somatic function scores in the resting state was statistically significant (P <0.05).Conclusion CO₂ laser dot matrix combined with external electromagnetic stimulation can significantly improve the pelvic floor muscle strength, improve the quality of life and life of patients with vaginal laxity, and it is worth promoting.