To investigate the efficacy of manipulation combined with electrical stimulation and biofeedback on the treatment of female sexual dysfunction. Methods: Seventy-two female patients with sexual dysfunction were recruited from the Third Xiangya Hospital of Central South University from January 2014 to December 2015. Subjects were randomly divided into three groups (A, B, and C). Patients in group A and group B received manipulation therapy and electrical stimulation biofeedback therapy, respectively, while patients in group C received manipulation combined with biofeedback electrical stimulation treatment for 30 days. The strength and fatigue degree of the type I and the type II muscle fiber of the pelvic muscles in all groups were evaluated before and one month after the treatment for further comparison. Questionnaire survey was used to investigate the frequency of sexual life and orgasm before and after treatment. Results: The strength and fatigue degree of patients in group C was significantly better than those of the other two groups (P<0.05). Conclusion: Manipulation therapy combined with electrical stimulation and biofeedback can effectively enhance the recovery of sexual dysfunction in postpartum women and improve the quality of sexual life for patients with postpartum sexual dysfunction. It therefore can be spread in clinical practice.
目的：探讨手法联合电刺激和生物反馈治疗女性性功能障碍的疗效。方法：选取2014年1月至2015年12月在中南大学湘雅三医院康复科门诊就诊的72例女性患者，均诊断为产后性功能障碍，按照数字法随机分为A，B，C 3组，每组24名。A组进行手法治疗，B组进行电刺激和生物反馈治疗，C组进行手法联合电刺激和生物反馈治疗。检测3组患者盆底肌肌电位及I，II类肌纤维肌力，并采用问卷调查的方法调查患者治疗前后性生活次数及性高潮次数，比较3组患者治疗前后盆底肌肉功能及性功能客观指标的评分。治疗时间周期为1个月，在治疗结束1个月后进行随访。结果：与A，B两组比较，C组患者盆底电生理指标肌力和肌电位均较高(P<0.05)；并且性功能改善情况更优(P<0.05)。结论：对于产后性功能障碍患者，手法治疗联合电刺激和生物反馈能有效促进产后女性性功能障碍的恢复，改善患者性生活质量，值得在临床上推广。.