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在妇科门诊就诊的女性盆底肌肉力量及其与性功能障碍的相关性:一项横断面研究。

Pelvic floor muscle strength of women consulting at the gynecology outpatient clinics and its correlation with sexual dysfunction: A cross-sectional study.

作者信息

Ozdemir Filiz Ciledag, Pehlivan Erkan, Melekoglu Rauf

机构信息

Filiz Ciledag Ozdemir, Department of Physical Therapy and Rehabilitation, Inonu University School of Medicine, Malatya, Turkey.

Erkan Pehlivan, Department of Public Health, Inonu University School of Medicine, Malatya, Turkey.

出版信息

Pak J Med Sci. 2017 Jul-Aug;33(4):854-859. doi: 10.12669/pjms.334.12250.

Abstract

OBJECTIVE

To investigate the pelvic floor muscle strength of the women andevaluateits possible correlation with sexual dysfunction.

METHODS

In this cross-sectional type study, stratified clusters were used for the sampling method. Index of Female Sexual Function (IFSF) worksheetwere used for questions on sexual function. The pelvic floor muscle strength of subjects was assessed byperineometer. The chi-squared test, logistic regression and Pearson's correlation analysis were used for the statistical analysis.

RESULTS

Four hundred thirty primiparous women, mean age 38.5 participated in this study. The average pelvic floor muscle strength value was found 31.4±9.6 cm HO and the average Index of Female Sexual Function (IFSF) score was found 26.5±6.9. Parity (odds ratio OR=5.546) and age 40 or higher (OR=3.484) were found correlated with pelvic floor muscle weakness (p<0.05). The factors directly correlated with sexual dysfunction were found being overweight (OR=2.105) and age 40 or higher (OR=2.451) (p<0.05). Pearson's correlation analysis showed that there was a statistically significantlinear correlation between the muscular strength of the pelvic floor and sexual function (p=0.001).

CONCLUSION

The results suggested subjects with decreased pelvic floor muscle strength value had higher frequency of sexual dysfunction.

摘要

目的

研究女性盆底肌肉力量,并评估其与性功能障碍的可能相关性。

方法

在这项横断面研究中,采用分层整群抽样方法。使用女性性功能指数(IFSF)工作表询问性功能问题。通过会阴压力计评估受试者的盆底肌肉力量。采用卡方检验、逻辑回归和Pearson相关分析进行统计分析。

结果

430名初产妇参与了本研究,平均年龄38.5岁。发现盆底肌肉力量平均值为31.4±9.6 cm HO,女性性功能指数(IFSF)平均得分为26.5±6.9。发现经产次数(优势比OR = 5.546)和40岁及以上年龄(OR = 3.484)与盆底肌肉无力相关(p<0.05)。发现与性功能障碍直接相关的因素是超重(OR = 2.105)和40岁及以上年龄(OR = 2.451)(p<0.05)。Pearson相关分析表明,盆底肌肉力量与性功能之间存在统计学上显著的线性相关性(p = 0.001)。

结论

结果表明,盆底肌肉力量值降低的受试者性功能障碍发生率较高。

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本文引用的文献

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Definitions/epidemiology/risk factors for sexual dysfunction.定义/流行病学/性功能障碍的危险因素。
J Sex Med. 2010 Apr;7(4 Pt 2):1598-607. doi: 10.1111/j.1743-6109.2010.01778.x.

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