黄吕成 张潍

【摘要】目的：探讨盆底肌肉功能锻炼对中青年女性糖尿病卵巢切除术后性功能的影响。方法：选择2013年1月至2015年3月本院收治的糖尿病且实施双侧卵巢切除术中青年性生活活跃患者80例，按照随机数字法分两组，各40例，观察组实施本研究盆底功能锻炼方法，对照组未针对盆底肌肉功能进行特殊干预，比较术后3d和术后3个月两组盆底肌电压、盆底肌力变化情况、术后3个月两组FSFI评分情况及两组存在性功能相关障碍情况。结果：术后3d两组盆底肌电压、盆底肌力差异无统计学意义（P>0.05），术后3个月两组盆底肌电压高于术后3d（P<0.05），盆底肌肌力高于术后3d（P<0.05）；且术后3个月观察组盆底肌电压高于对照组（P<0.05），盆底肌肌力高于对照组（P<0.05）。术后3个月观察组FSFI评分中性欲、性唤起、性高潮及性心理的评分均显著高于对照组（P<0.05）。术后3个月观察组发生阴道干涩、性交痛、性欲低下及性高潮缺失的比例显著低于对照组（P<0.05）。结论：有效的盆底肌肉功能锻炼能显著改善中青年女性糖尿病患者实施卵巢切除术后盆底肌肉功能，提高患者性功能，改善患者生活质量。

【关键词】盆底肌功能锻炼；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

【中图分类号】R713.6【文献标志码】A

2型糖尿病作为现代社会的常见病多发病，严重影响人类生活质量及生命健康，且本病发病年龄有年轻化趋势[1]。糖尿病可能引起患者出现性欲的降低、女性患者阴道润滑能力减弱以及性高潮的缺失，出现性交的疼痛甚至性交困难，以及性唤起障碍等。对患者个人及其家庭带来极大痛苦，同时也造成严重的经济与社会负担。另外针对卵巢疾病患者，治疗上需要进行卵巢的切除，导致女性突然失去雌激素与雄激素主要来源，势必加重对女性神经内分泌轴的影响，进一步导致患者术后性生活能力的改变。盆底肌肉收缩能力对女性性唤起与性兴奋及出现性高潮发挥着重要生理作用[2]。盆底肌肉功能锻炼是一个简单易学且经济实惠的提高性生活质量的方法[3]。但……