郑红霞

[摘要] 目的 觀察产后瑜伽操联合神经肌肉刺激治疗产后盆底功能障碍（PFD）对患者性生活质量的影响。 方法 选取2019年3月至2020年1月到我院诊疗的经阴道生产后PFD患者124例进行研究，采用随机数字表法将患者分为试验组与对照组，每组各62例。两组均给予PFD神经肌肉刺激治疗，试验组在对照组治疗基础上增加瑜伽操锻炼，干预后对两组患者盆底功能障碍、性生活质量进行比较。 结果 治疗前两组患者盆底肌力情况、压力性尿失禁、腰骶部疼痛、盆腔器官脱垂情况及性生活质量比较，差异无统计学意义（P>0.05），治疗后试验组盆底肌力明显优于对照组，差异有统计学意义（P<0.05）;试验组压力性尿失禁、腰骶部疼痛、盆腔器官脱垂患者占比低于对照组，差异有统计学意义（P<0.05）;试验组患者性欲、性唤起、性高潮、阴道润滑度、性交疼痛、性满意度评分及性生活质量总分均高于对照组，差异均有统计学意义（P<0.05）。 结论 产后瑜伽操联合神经肌肉刺激治疗产后PFD对患者盆底肌力、性生活质量的提升效果优于单独使用神经肌肉刺激疗法。

[关键词] 产后瑜伽;神经肌肉刺激;盆底功能障碍;性生活质量

[中图分类号] R454          [文献标识码] B          [文章编号] 1673-9701（2021）33-0081-04

[Abstract] Objective To observe the effect of postpartum yoga combined with neuromuscular stimulation on the quality of sexual life of patients with postpartum pelvic floor dysfunction（PFD）. Methods A total of 124 patients with PFD after vaginal delivery who came to our hospital for diagnosis and treatment from March 2019 to January 2020 were selected for this study. The patients were divided into the experimental group and the control group by random number table method， with 62 cases in each group. Both groups were given neuromuscular stimulation therapy for PFD. The experimental group received yoga on the basis of the treatment in the control group. After intervention， PFD and quality of sexual life of the two groups were compared. Results Before the intervention， there were no significant differences in pelvic floor muscle strength， stress incontinence， lumbosacral pain， pelvic organ prolapse and quality of sexual life between the two groups（P>0.05）. After the intervention，the pelvic floor muscle strength was significantly superior in the experimental group to that of the control group， with statistically significant difference（P<0.05）.The proportions of patients with stress incontinence， lumbosacral pain and pelvic organ prolapse were lower in the experimental group than those in the control group， and the differences were statistically significant（P<0.05）. The scores of sexual desire， sexual arousal， orgasm， vaginal lubrication， sexual intercourse pain，sexual satisfaction and sexual life quality of the patients were higher in the experimental group than those in the control group，and the differences were statistically significant（P<0.05）. Conclusion The postpartum yoga combined with neuromuscular stimulation is superior to that of neuromuscular stimulation alone in improving pelvic floor muscle strength and quality of sexual life of patients with postpartum PFD.

[Key words] Postpartum yoga; Neuromuscular stimulation; Pelvic floor dysfunction; Quality of sexual life

经阴道生产对女性的身体伤害极大，通常会引起阴道撕裂、盆底功能受损等并发症的发生。妊娠和分娩均可对产妇盆腔造成不同程度的伤害，使其盆底肌力下降、支持结构受损。产后盆底功能障碍（Pelvic floor dysfunction，PFD）是由于盆底支持组织退化、损伤和功能障碍所导致的疾病，其主要的临床表现为压力性尿失禁、腰骶部疼痛、盆腔器官脱垂及性功能障碍等，情况严重时可影响产妇日常生活活动，甚至危及其生命健康[1-2]。研究表明[3]，我国已婚已孕女性患PFD者约占45%，而目前盆底神经肌肉刺激治疗法对PFD的治疗效果有限[4-5]，故我院选取124例经阴道生產PFD患者分为两组进行研究，对比产后瑜伽操联合神经肌肉刺激疗法与单独使用神经肌肉刺激疗法治疗PFD的效果，现报道如下。