Glazer H I, Rodke G, Swencionis C, Hertz R, Young A W
Cornell University Medical College, New York Hospital, USA.
J Reprod Med. 1995 Apr;40(4):283-90.
Thirty-three women diagnosed as suffering from vulvar vestibulitis syndrome, marked by a significant history of long-term moderate to severe chronic introital dyspareunia and tenderness of the vulvar vestibule, were selected for treatment. Patients were given a computerized electromyographic evaluation of the pelvic floor muscles and were then provided with portable electromyographic biofeedback instrumentation and instructions on the conduct of daily, at-home, biofeedback-assisted pelvic floor muscle rehabilitation exercises. They received intermittent evaluations of pelvic floor muscles to ensure compliance and monitor their progress and symptom changes. The results show that after an average of 16 weeks of practice, pelvic floor muscle contractions increased 95.4%, resting tension levels decreased 68%, and the instability of the muscle at rest decreased by 62%. Subjective reports of pain decreased an average of 83%. Twenty-eight patients had abstained from intercourse for an average of 13 months. Twenty-two of these 28 patients resumed intercourse by the end of the treatment period. Six month follow-up indicated maintenance of therapeutic benefits.
选取了33名被诊断患有外阴前庭炎综合征的女性进行治疗，其特征为有长期中度至重度慢性阴道入口性交困难及外阴前庭压痛的明显病史。对患者进行了盆底肌肉的计算机化肌电图评估，然后为她们提供了便携式肌电图生物反馈仪器，并指导她们进行日常在家的生物反馈辅助盆底肌肉康复锻炼。对她们的盆底肌肉进行间歇性评估，以确保其依从性并监测进展及症状变化。结果显示，平均经过16周的练习后，盆底肌肉收缩增加了95.4%，静息张力水平降低了68%，静息时肌肉的不稳定性降低了62%。疼痛的主观报告平均下降了83%。28名患者平均 abstained from intercourse 13个月。这28名患者中有22名在治疗期结束时恢复了性交。六个月的随访表明治疗效果得以维持。 （注：“abstained from intercourse”此处原文有误，可能是“abstained from sexual intercourse”，意为“ abstained from sexual intercourse”）
