盆底肌训练联合生物电刺激对子宫全切患者的临床疗效
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李春生,女,主治医师,主要研究方向是不孕不育生殖医学、妇科内分泌及盆底肌康复。

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R 713.4+ 2

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Clinical Effect of Pelvic Floor Muscle Training Combined with Bioelectric Stimulation on Patients with Total Hysterectomy
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    摘要:

    摘 要目的:研究盆底肌训练(PFMT)联合生物电刺激(BS)对子宫全切患者病耻感、心理调适及性生活质量的 影响。 方法:选择南阳市正骨医院 2020 年 1 月至 2022 年 12 月接受治疗的 120 例子宫全切患者,依据随机数字表法分为 A 组、B 组与 C 组,每组 40 例。A 组患者行 PFMT,B 组患者行 PFMT 联合 BS,C 组患者行常规干预,比较三组患者干 预前后病耻感、心理调适及性生活质量等指标。 结果:干预后,三组患者病耻感各项评分及总分均低于干预前,且 B 组患 者病耻感各项评分及总分均低于 A 组、C 组,差异具有统计学意义(P < 0.05);干预后,三组患者情绪状态评分均低于 干预前,压力状态、女性性生活指数(FSFI)评分均高于干预前,且 B 组患者情绪状态评分均低于 A 组、C 组,压力状态、 FSFI 评分均高于 A 组、C 组,差异具有统计学意义(P < 0.05)。 结论:PFMT 联合 BS 可有效降低子宫全切患者病耻感, 提高其心理调适水平及性生活质量。

    Abstract:

    AbstractObjective To investigate the effects of pelvic floor muscle training (PFMT) combined with bioelectric stimulation (BS) on stigma, psychological adjustment and sexual life quality of patients with total hysterectomy. Methods 120 patients with total hysterectomy who received treatment in Nanyang Bonesetting Hospital from January 2020 to December 2022 were selected and divided into group A, group B and group C according to random number table method, with 40 cases in each group. Patients in group A received PFMT, patients in group B received PFMT combined with BS, and patients in group C received routine intervention. The indexes of stigma, psychological adjustment and sex life quality before and after intervention were compared among the three groups. Results After intervention, the scores and total scores of stigma in the three groups were lower than those before intervention, and the scores and total scores of stigma in group B were lower than those in group A and group C, the differences were statistically significant (P < 0.05). After intervention, emotional state scores of patients in the three groups were lower than those before intervention, stress state scores and female sexual function index (FSFI) scores were higher than those before intervention, and emotional state scores of group B were lower than those group A and group C, stress state scores and FSFI scores were higher than those group A and group C, the differences were statistically significant (P < 0.05). Conclusion PFMT combined with BS can effectively reduce the stigma of total hysterectomy patients and improve their psychological adjustment level and sexual life quality.

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  • 收稿日期:2023-03-07
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  • 在线发布日期: 2023-08-03
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