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目的调查并分析盆底功能障碍所致性冷淡对家庭和谐的影响及相关早期康复措施的效果。方法 2013年2月-2016年5月于佛山市顺德区龙江医院分娩的800名妇女中,盆底功能障碍所致性冷淡产妇250例,设为观察组;无盆底功能障碍所致性冷淡产妇550例,设为对照组。通过自行设计性冷淡与家庭和谐关系问卷表评价并比较两组家庭和谐相关指标;同时调查观察组产妇对性冷淡相关知识的认知度。对观察组产妇行盆底肌肉训练及盆底肌肉电刺激治疗,比较干预前后产妇盆底肌力、性冷淡、尿失禁及子宫脱垂恢复情况。结果观察组与对照组产妇夫妻交流、性生活质量、埋怨与冲突、角色平等性、夫妻关系疏远、婚姻满意度评分比较差异均有统计学意义(均P<0.05)。观察组产妇中性冷淡相关知识评分最高的为性功能障碍;治疗后盆底肌力分级较治疗前明显改善,差异有统计学意义(P<0.05)。观察组产妇性冷淡、尿失禁、子宫脱垂治疗有效率分别为95.20%、94.74%和95.12%。结论盆底功能障碍所致性冷淡可对家庭和谐造成一定的不良影响,早期通过盆底肌肉训练、盆底肌肉电刺激能明显改善性冷淡等症状。同时,产妇对产后性冷淡相关知识的认知度不高,需加强健康宣教以预防盆底功能障碍相关性冷淡发生。
Objective To investigate and analyze the impact of frigidity caused by pelvic floor dysfunction on family harmony and the effect of related early rehabilitation measures. Methods From February 2013 to May 2016, 250 pregnant women with cold pelvic floor dysfunction who were delivered at Longjiang Hospital of Shunde District of Foshan City were enrolled in this study. The patients were divided into observation group and no pelvic floor dysfunction Cold maternal 550 cases, as the control group. Evaluate and compare the indicators of family harmony between the two groups through the self-designed questionnaire of relationship between family harmony and coldness. At the same time, investigate the maternal awareness of frost-related knowledge in the observation group. The observation group maternal pelvic floor muscle training and pelvic floor muscle stimulation, before and after intervention pelvic floor muscle strength, frigidity, urinary incontinence and recovery of uterine prolapse. Results The observation group and the control group had significant differences in marital relations, quality of life, complaining and conflict, equality of roles, alienation of husband and wife, and scores of marital satisfaction (all P <0.05). Observation group maternal genital cold related knowledge score the highest for sexual dysfunction; pelvic floor muscle strength after treatment was significantly improved than before treatment, the difference was statistically significant (P <0.05). Observation group of maternal apathy, urinary incontinence, uterine prolapse treatment efficiency were 95.20%, 94.74% and 95.12%. Conclusions Frigidity caused by pelvic floor dysfunction may have some adverse effects on family harmony. Early training of pelvic floor muscles and pelvic floor muscle electrical stimulation can obviously improve the symptoms such as frigidity. At the same time, maternal awareness of postpartum sexual frigidity is not high, need to strengthen the health education to prevent pelvic floor dysfunction associated with cold.