盆底肌锻炼对子宫全切术后性生活质量的影响

目的：探讨盆底肌锻炼对子宫全切术后性生活质量的影响。方法：选择子宫全切患者40例，采用本组盆底肌锻炼方法，比较干预前后盆底肌收缩时间和阴道内收缩压力，统计干预前后每周性生活频率，以及性唤起时间、获得高潮时间和性交时疼痛情况。结果：干预后患者盆底肌收缩时间显著长于干预前（P〈0．05），阴道内压力显著高于干预前（P〈0．05），干预后患者每周性生活频率超过2次者显著多于干预前（P〈0．05），且每周性生活频率少于1次者显著少于干预前（P〈0．05），干预后患者性唤起时间显著快于干预前（P〈0．05），性交疼痛评分显著低于干预前（P〈0．05），获得高潮时间显著快于干预前（P〈0．05）。结论：盆底肌功能锻炼能显著减少子宫切除术后患者性交不适，提高女性对性生活的渴望，提高性生活质量。

Effect of pelvic floor muscle exercise on the postoperative sexual life quality of patients receiving hysterecto- my

Objectives： To investigate the effect of pelvic floor muscle exercise on the postoperative sexual life quality of patients receiving hysterectomy. Methods： 40 cases with hysterectomy were chosen. Pelvic floor mus- cle exercise was adopted within this group, and pelvic floor muscle contraction time and the pressure of the vagina were compared before and after the intervention. The weekly frequency of sexual activity, as well as the time of sex- ual arousal, orgasm time and pain during intercourse situation before and after the intervention was counted. Results： The pelvic floor muscle contraction time of patients after the intervention was significantly longer than that before the intervention （ P 〈 0.05 ）. The pressure inside the vagina after intervention was significantly higher than that before the intervention （ P 〈 0.05 ）. After the intervention, the patients with sex frequency of more than 2 times a week were significantly more than those before the intervention （ P 〈 0.05 ） and the patients with frequency of sex- ual activity of less than once a week were significantly less than those before the intervention （ P 〈 0.05 ） , time of sexual arousal of patients after the intervention was significantly faster than that before the intervention （ P 〈 0.05 ） , intercourse pain score was significantly lower than that before the intervention （ P 〈 0.05 ）, orgasm time was faster than that before the intervention（ P 〈 0.05 ）. Conclusion： Pelvic floor muscle exercise can significantly reduce sex discomfort after hysterectomy and improve women＇ s desire for sex and the quality of sex life.