CAJ | 학술논문

目的：运用女性性功能指标量表对腹腔镜腹膜阴道成形罗湖Ⅱ式术后患者性生活质量进行调查,了解罗湖Ⅱ式术后患者的性生活情况,采取相应的干预措施,提高患者术后的性生活质量。方法选取2012年1月—2013年3月行罗湖Ⅱ式手术的106例患者作为研究对象,运用女性性功能指数量表( FSFI)及女性性苦恼量表( FSDS-R)进行问卷调查,通过性功能评分评估、心理评估了解术后半年患者性生活质量及心理状态。根据存在问题对相应患者采取对应的干预措施,进行规范的健康引导,1年后对患者性生活质量再次进行评估。结果患者干预后阴道长度(12.29±1.67)cm,优于干预前,差异有统计学意义(t=2.825,P<0.05)。干预后患者性欲、性唤醒、阴道润滑度、性欲高潮、性交满意度、性交疼痛及FSFI总分分别为(4.0±0.4),(4.2±0.4),(4.5±0.5),(4.1±0.7),(5.0±0.5),(4.6±0.5),(29.7±1.2)分,均优于干预前,差异有统计学意义(t值分别为7.64,3.77,6.27,8.14,8.78,7.92,36.13；P<0.01)。结论阴道成形术后患者普遍存在性生活问题及不自信的心理,有效的干预措施能提高患者性生活的质量,提高满意度,增强自信心,有利于促进患者长期的性生活和谐。
목적：운용녀성성공능지표량표대복강경복막음도성형라호Ⅱ식술후환자성생활질량진행조사,료해라호Ⅱ식술후환자적성생활정황,채취상응적간예조시,제고환자술후적성생활질량。방법선취2012년1월—2013년3월행라호Ⅱ식수술적106례환자작위연구대상,운용녀성성공능지수량표( FSFI)급녀성성고뇌량표( FSDS-R)진행문권조사,통과성공능평분평고、심리평고료해술후반년환자성생활질량급심리상태。근거존재문제대상응환자채취대응적간예조시,진행규범적건강인도,1년후대환자성생활질량재차진행평고。결과환자간예후음도장도(12.29±1.67)cm,우우간예전,차이유통계학의의(t=2.825,P<0.05)。간예후환자성욕、성환성、음도윤활도、성욕고조、성교만의도、성교동통급FSFI총분분별위(4.0±0.4),(4.2±0.4),(4.5±0.5),(4.1±0.7),(5.0±0.5),(4.6±0.5),(29.7±1.2)분,균우우간예전,차이유통계학의의(t치분별위7.64,3.77,6.27,8.14,8.78,7.92,36.13；P<0.01)。결론음도성형술후환자보편존재성생활문제급불자신적심리,유효적간예조시능제고환자성생활적질량,제고만의도,증강자신심,유리우촉진환자장기적성생활화해。
Objective The Female Sexual Function Index ( FSFI) was used to investigate the sexual life quality of patients who got laparoscopic peritoneal vaginoplasty of LuohuⅡ, so as to take measures to improve patients postoperative quality of life. Methods A total of 106 cases undergoing laparoscopic peritoneal vaginoplasty of LuohuⅡ were selected from January 2012 to March 2013. All patients got the questionnaire survey by FSFI and the FSDS-R questionnaire to evaluate the sexual function and psychological states. According to the existing problems, the intervention measures and health guidance were given to patients. And one year after surgery, their sexual function was evaluated again. Results The length of vagina was (12. 29 ± 1. 67) cm, which was significantly longer than before (t =2. 825, P <0. 05). The sexual desire, sexual arousal, sexual orgasm, sexual satisfaction, sexual pain and total score of FSFI were (4. 0 ± 0. 4), (4. 2 ± 0. 4), (4. 5 ± 0. 5), (4. 1 ± 0. 7), (5. 0 ± 0. 5), (4. 6 ± 0. 5) and (29. 7 ± 1. 2), which were significantly better than those before (t=7. 64, 3. 77, 6. 27, 8. 14, 8. 78, 7. 92, 36. 13, respectively;P <0. 01). Conclusions The sexual satisfaction of patients is increased after intervention. The patients with laparoscopic peritoneal vaginoplasty generally have sex problems and lack of the confidence, and effective intervention can improve the sexual life quality and satisfaction, as well as self-confidence of patients.