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目的观察生物反馈联合电刺激结合阴道哑铃治疗围绝经期女性性功能障碍的疗效,探讨该疾病的最佳物理治疗方案。方法选择2013年10月-2015年10月在该院确诊为围绝经期性功能障碍的患者60例。随机分为治疗组30例,对照组30例。治疗组采用生物反馈联合电刺激结合阴道哑铃的治疗方案,对照组采用生物反馈联合电刺激结合Kegel训练的治疗方案。每组疗程均为6周,治疗结束后,治疗组继续使用阴道哑铃巩固;对照组继续进行Kegel训练巩固。在治疗开始前、治疗一半时、治疗结束时、治疗结束后3个月、6个月分别应用女性性功能量表(FSFI)问卷评价女性性功能改善情况,检测盆底肌力。结果治疗组在治疗一半时、治疗结束时、治疗结束后3个月、6个月时以及对照组在治疗结束时、治疗结束后3个月的性生活质量、盆底肌力均显著改善(P<0.01)。对照组在疗程结束后3个月、6个月时盆底肌力均较治疗结束时明显下降(P<0.01),而治疗组盆底肌力无明显下降(P>0.05)。结论通过生物反馈联合电刺激治疗围绝经期女性性功能障碍安全有效,联合阴道哑铃起效更快、疗效更优,且长期使用阴道哑铃有助于保持盆底肌力和性生活质量。
Objective To observe the efficacy of biofeedback combined with electrical stimulation and vaginal dumbbell in treating peri-menopausal female sexual dysfunction and to explore the best physical therapy for the disease. Methods Sixty patients with peri-menopausal dysfunction diagnosed in our hospital from October 2013 to October 2015 were selected. Randomly divided into treatment group 30 cases, control group 30 cases. The treatment group received biofeedback combined with electrical stimulation combined with vaginal dumbbell treatment. The control group received biofeedback combined with electrical stimulation and Kegel training. Each course of treatment was 6 weeks, after treatment, the treatment group continued to use vaginal dumbbell consolidation; control group continued Kegel training and consolidation. At the beginning of treatment, half of treatment, at the end of treatment, 3 months after treatment, 6 months, respectively, the female sexual function scale (FSFI) questionnaire was used to evaluate the improvement of female sexual function and detect pelvic floor muscle strength. Results The quality of life and pelvic floor muscle strength were significantly improved in the treatment group at half treatment, at the end of treatment, at 3 months and 6 months after the end of treatment, and at the end of the treatment and 3 months after the end of treatment P <0.01). The control group at the end of 3 months after treatment, pelvic floor muscle strength at 6 months were significantly lower than the end of treatment (P <0.01), while the treatment group had no significant decrease in pelvic muscle strength (P> 0.05). Conclusions The biofeedback combined with electrical stimulation is safe and effective in the treatment of female sexual dysfunction in perimenopausal women. The combined vaginal dumbbell has faster onset and better curative effect. Long-term use of vaginal dumbbell helps maintain pelvic floor muscle strength and quality of life.