凯格尔训练治疗产后女性性功能障碍的效果观察

目的探讨凯格尔训练方法治疗产后女性性功能障碍的疗效。方法选取珠海市第二人民医院2008年10月至2010年10月分娩的产妇中,通过《产后女性性功能障碍诊断量化表及评分表》自制的问卷调查表确诊为产后女性性功能障碍并坚持治疗至疗程结束134例患者(年龄21～42岁)为研究对象,将其随机分为康复组(n=68)及对照组(n=66)。康复组在医生指导下进行一对一的性健康教育及凯格尔训练指导,2～3次/d,每次练习15～30min,持续8周以上。对照组实施常规的健康教育。疗程结束后分别对两组患者的盆底肌收缩力、性生活频度、及性交痛发生率等方面进行评估。结果康复组在盆底肌收缩力、性生活频度、性生活质量满意度等方面均明显优于对照组(P<0.05)。结论凯格尔训练能有效改善产后女性性功能障碍,该法简单、实用,可在基层医院推广使用。

Effects of Kegel exercise on postpartum female sexual dysfunction

Objective To investigate the effects of Kegel exercise in the treatment of postpartum female sexual dysfunction. Methods A total of 134 women undergoing childbirth from Oct. 2008 to Oct. 2010, aged 21~24 years old, were diagnosed as postpartum female sexual dysfunction (PPFSD) according to the scale of PPFSD and underwent full treatment course of Kegel exercise. The women were randomly divided into the rehabilitation group (n= 68) and the control group (n=66). The rehabilitation group were treated with Kegel exercise under the guidance of a doctor, 5~30 min, 2~3 times/day,for 8 weeks. While the control group had conventional health education. After treatment, the intensity of pelvic floor muscle contraction, frequency of sexual intercourse, and incidence of sexual intercourse pain were evaluated and compared between the two groups. Results The rehabilitation group showed significantly better outcomes regarding the intensity of pelvic floor muscle contraction, frequency of sexual intercourse, and incidence of sexual intercourse pain (P<0.05). Conclusion Kegel exercise is a simple but effective treatment for postpartum female sexual dysfunction, which is worthy for application in primary hospitals.