非手术治疗产后性功能障碍的研究进展

doi:10.12280/gjfckx.20220582

摘要/Abstract

摘要：

产后性功能障碍（postpartum sexual dysfunction，PSD）是女性发病率较高的疾病，病因复杂，治疗方法多样，包括心理治疗、药物治疗、行为治疗、物理康复治疗和手术治疗等，目前PSD主要治疗措施仍是非手术治疗。盆底科医生应对产后女性恢复性生活过程中遇到的问题给予专业指导；药物治疗可有效缓解阴道干燥和灼热感；电刺激和生物反馈均可减轻性交痛，且生物反馈比电刺激在提高性欲、增加阴道润滑度方面更有优势；磁刺激不仅能提升盆底肌力，对产后性交痛也有一定疗效；盆底肌筋膜痛手法治疗则需要与其他治疗方式联合应用；射频治疗多用于改善阴道松弛及干涩。综述PSD非手术治疗中的干预措施及其适应证并评价其治疗效果，为探寻PSD的最佳非手术治疗方法提供可靠临床依据。

关键词: 性功能障碍, 生理性, 女性, 诊断, 治疗, 产后, 女性性功能指数

Abstract:

Postpartum sexual dysfunction (PSD) is a disease with a high incidence rate in women with complex etiology and various treatment methods, including psychotherapy, drug therapy, behavioral therapy, physical rehabilitation therapy, surgical treatment, etc. The main treatment measures for PSD are still non-surgical treatment. The pelvic floor doctors should give professional guidance to postpartum women in the process of resuming sexual life. Drug treatment can effectively relieve vaginal dryness and burning sensation. Both electrical stimulation and biofeedback can reduce sexual intercourse pain, and biofeedback has more advantages than electrical stimulation in increasing libido and vaginal lubrication. Magnetic stimulation can not only improves pelvic floor muscle strength, but also has a certain effect on postpartum sexual intercourse pain. Manual treatment of pelvic floor myofascial pain needs to be combined with other treatments. Radiofrequency therapy should be used to improve vaginal laxity and dryness. To provide reliable clinical basis for searching for the best non-surgical treatment method, we reviewed the intervention measures and indications in the non-surgical treatment of PSD and evaluated its therapeutic effects.

Key words: Sexual dysfunction, psychological, Femininity, Diagnosis, Therapy, Postpartum, Female sexual function index

闫洪亮, 靳翠平, 马富玲, 尚玉敏. 非手术治疗产后性功能障碍的研究进展[J]. 国际妇产科学杂志, 2023, 50(2): 170-175.

YAN Hong-liang, JIN Cui-ping, MA Fu-ling, SHANG Yu-min. Research Progress of Non-Surgical Treatment of Postpartum Sexual Dysfunction[J]. Journal of International Obstetrics and Gynecology, 2023, 50(2): 170-175.

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