J Sex Med:盆底肌肉训练对绝经后女性性功能的影响

2021-07-15 AlexYang MedSci原创

更年期是女性一生中卵巢功能衰竭的时期,能够引起许多内分泌、身体和情绪的变化,也影响了女性的性功能。雌激素缺乏似乎促进了《精神障碍诊断与统计手册》(DSM-5)所确定的3类女性性功能障碍,包括兴趣和性唤

更年期是女性一生中卵巢功能衰竭的时期,能够引起许多内分泌、身体和情绪的变化,也影响了女性的性功能。雌激素缺乏似乎促进了《精神障碍诊断与统计手册》(DSM-5)所确定的3类女性性功能障碍,包括兴趣和性唤起障碍、性高潮障碍和生殖器盆腔疼痛/渗透。绝经后女性性功能障碍的发生率很高,盆底肌肉训练(PFMT)可以改善这个时期的性功能。

近期,有研究人员评估了PFMT方案对绝经后女性性功能的影响,并调查了该方案对盆底肌肉功能的影响

这是一项评估者盲法的随机对照试验,包括77名绝经后女性。该研究已在ReBEC试验中注册:RBR-3s3ff7。干预组(n=40)在12周内接受强化监督的PFMT方案,对照组(n=37)则不接受干预。研究的主要结果是通过女性性功能指数(FSFI)问卷进行的评估情况,次要结果是在基线和12周后使用改良的牛津量表通过手指触诊进行盆底肌肉功能的评估。

研究结果发现,在基线和12周后的第二次评估中,没有发现组间在FSFI域和总分上的差异。然而,12周后,与对照组(95%CI=7.13-92.87)相比,干预组中没有性功能障碍的女性比例更高(95%CI=27.97-72.03)。在基线(P=0.2)和12周后(P=0.06)的盆底肌肉功能方面,组间没有发现差异。

在第一次和第二次评估中,IG中FSFI域的均值和标准差

PFMT是一种保守的干预措施,可以使女性的性功能障碍减少。该项研究的优点是研究设计,局限性是只使用了一种工具来评估性功能,尽管它是一种已经验证的调查问卷。

综上所述,PFMT能够减少了绝经后女性的性功能障碍

原始出处:

Maíra M Franco, Caroline C Pena, Leticia M de Freitas et al. Pelvic Floor Muscle Training Effect in Sexual Function in Postmenopausal Women: A Randomized Controlled Trial. J Sex Med. Jun 2021

 

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    2022-02-16 ms8000002131411968

    性功能不好调查

    0

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    2021-07-22 ms3000000449926787

    有意思

    0

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    2021-07-17 zxxiang
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    2021-07-16 ms2658711348342440

    学习了 谢谢

    0

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    2021-07-15 Jason88

    学习了

    0

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