盆底肌肉功能鍛煉對中青年女性糖尿病卵巢切除術后性功能的影響

黃呂成 張濰

【摘要】目的：探討盆底肌肉功能鍛煉對中青年女性糖尿病卵巢切除術后性功能的影響。方法：選擇2013年1月至2015年3月本院收治的糖尿病且實施雙側卵巢切除術中青年性生活活躍患者80例，按照隨機數字法分兩組，各40例，觀察組實施本研究盆底功能鍛煉方法，對照組未針對盆底肌肉功能進行特殊干預，比較術后3d和術后3個月兩組盆底肌電壓、盆底肌力變化情況、術后3個月兩組FSFI評分情況及兩組存在性功能相關障礙情況。結果：術后3d兩組盆底肌電壓、盆底肌力差異無統計學意義（P>0.05），術后3個月兩組盆底肌電壓高于術后3d（P<0.05），盆底肌肌力高于術后3d（P<0.05）；且術后3個月觀察組盆底肌電壓高于對照組（P<0.05），盆底肌肌力高于對照組（P<0.05）。術后3個月觀察組FSFI評分中性欲、性喚起、性高潮及性心理的評分均顯著高于對照組（P<0.05）。術后3個月觀察組發生陰道干澀、性交痛、性欲低下及性高潮缺失的比例顯著低于對照組（P<0.05）。結論：有效的盆底肌肉功能鍛煉能顯著改善中青年女性糖尿病患者實施卵巢切除術后盆底肌肉功能，提高患者性功能，改善患者生活質量。

【關鍵詞】盆底肌功能鍛煉；女性；性功能；糖尿病；卵巢切除

Effect of pelvic floor muscle exercise on the sexual function of young women with diabetes oophorectomyHUANG Lvcheng1， ZHANG Wei2. 1. Department of Gynecology， Baoji City Traditional Chinese Medicine Hospital ， Baoji 721001，Shaanxi，China； 2. Department of Gynecology， Xijing Hospital， Xian 710199， Shaanxi， China

【Abstract】Objectives： To investigate the effect of pelvic floor muscle exercise on the sexual function of young women with diabetes oophorectomy. Methods： 80 young sexually active diabetes patients after bilateral oophorectomy from January 2013 to March 2015 in our hospital were randomly divided into two groups， each of 40 cases. The observation group adopted pelvic floor muscle exercise while the control group did not receive special interventions. The pelvic floor muscle voltage and pelvic floor muscle strength changes before and after the intervention， as well as the FSFI score and the functionally related obstacles in the two groups after the intervention were observed and compared. Results： Pelvic floor muscle voltage and pelvic floor muscle strength in both groups was higher than that before intervention （P<0.05）， and those of the observation group after intervention were higher than the control group （P<0.05）. FSFI score libido， arousal， orgasm and psychological scores in the observation group were higher than those in the control group （P<0.05）， and the percentages of vaginal dryness， painful intercourse， lack of libido and orgasm ratio in the observation group were higher than control group （P<0.05）. Conclusions： The effective pelvic floor muscle exercise can significantly improve the pelvic floor muscle function of young women with diabetes oophorectomy， thusly improving their sexual function and life quality.

【Key words】Pelvic floor muscle exercise； Female； Sexual function； Diabetes； Ovariectomy

【中圖分類號】R713.6【文獻標志碼】A

2型糖尿病作為現代社會的常見病多發病，嚴重影響人類生活質量及生命健康，且本病發病年齡有年輕化趨勢[1]。糖尿病可能引起患者出現性欲的降低、女性患者陰道潤滑能力減弱以及性高潮的缺失，出現性交的疼痛甚至性交困難，以及性喚起障礙等。對患者個人及其家庭帶來極大痛苦，同時也造成嚴重的經濟與社會負擔。另外針對卵巢疾病患者，治療上需要進行卵巢的切除，導致女性突然失去雌激素與雄激素主要來源，勢必加重對女性神經內分泌軸的影響，進一步導致患者術后性生活能力的改變。盆底肌肉收縮能力對女性性喚起與性興奮及出現性高潮發揮著重要生理作用[2]。盆底肌肉功能鍛煉是一個簡單易學且經濟實惠的提高性生活質量的方法[3]。但……