阴道哑铃在盆底肌康复训练中的应用效果

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[Abstract]Objective： To explore the rehabilitation effect and sexual function influence of vaginal dumbells combined with pelvic floor muscle rehabilitation training on primiparas with pelvic floor dysfunction （PFD）.Method：A total of 12O primiparas with PFDadmitted to ital from March 2022 to December 2024 were selected and randomly divided into observation groupand control group，with 6O cases in each group.The control group adopted conventional pelvic floor muscle training + pelvic floor muscle biofeedback training，while the observation groupadded vaginal dumbbelltraining on the basis of the control group.Both groups were intervened for 3 months.The pelvic floor muscle strength classification，pelvic floor muscle fatigue and electromyography values， sexual function index，urination function，bladder function and nocturia frequencyof the two groups were compared 1 and 3 months after the intervention.Result：After3 months of intervention，the muscle strength of type Iand type I muscle fibers of pelvic floor muscle in the observation group were beter than those in the control group 0 P <0.05）.After1and3 months ofintervention，thefatigue degreeoftypeIand type II muscle fibers of pelvic floor muscle fibersandthe electromyographyvalues intheobservation groupimprovedmore significantlythanthose in the control group （ P <0.05）.After 1 and 3 months of intervention，the scores of the female sexual function index （FSFI） in the observation group were all higher than those in the control group （ P <0.05）.After 3 months of intervention， the incidences of pelvic organ prolapse （POP）and stressurinary incontinence （SUI） and the frequency of nocturia per night inboth groups weresignificantlyreduced comparedwith those after1month of intervention，and thereduction in the observation group were more obvious than those in the control group （ P <0.05）. There was no statistically significant difference in the incidence of adverse events between the two groups（ P> 0.05）. Conclusion： Vaginal dumbbell combined with pelvic floor muscle biofeedback training can effctively enhance pelvic floor muscle strength，improve sexual function，and reduce the incidence of SUI and POP as wellas the frequency of nocturia， with good safety.

[Keywords] Pelvic floor dysfunctionVaginal dumbbellBiofeedbackPrimiparaRehabilitation training Sexual function index

女性盆底功能障碍（pelvic floordysfunction，PFD）是以盆底支持结构损伤为核心病理改变的临床综合征，典型表现为盆腔器官脱垂（pelvic organprolapse，POP）及压力性尿失禁（stress urinaryincontinence，SUI）[1]。（剩余7278字）