盆地肌肉训练与阴道松妇女的射频:随机临床试验
Glaucia Miranda Varella Pereira1, Cristiane Martins Almeida1, Natalia Martinho1
1Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, Cidade Universitária, Barão Geraldo, Campinas, SP 13083-881, Brazil.
The journal of sexual medicine
|July 7, 2024
概括
射频 (RF) 和盆地肌肉训练 (PFMT) 均改善了女性阴道松 (VL) 的症状. 虽然RF在30天后显示出对PFMT的初始非劣势,但PFMT在6个月后显示出优异的长期结果.
科学领域:
- 妇科 妇科医生 妇科
- 泌尿和妇科 泌尿和妇科
- 性健康 性的健康
背景情况:
- 阴道松 (VL) 影响24-38%的女性,影响性功能和生活质量.
- 目前对VL的治疗选择包括射频 (RF) 和盆地肌肉训练 (PFMT).
研究的目的:
- 为了比较RF和PFMT在治疗阴道松的女性中的疗效.
- 评估这些治疗对性功能,阴道症状和尿失禁的影响.
主要方法:
- 一个前性的,并行的,非劣势的,随机的临床试验,涉及87名患有VL的女性.
- 参与者被分配到RF或PFMT组,并在基线,30天和干预后6个月进行评估.
- 主要终点是女性性功能指数 (FSFI) 得分的变化.
主要成果:
- 在30天和6个月后,RF和PFMT组在性,阴道和尿路症状方面均显著改善.
- 在30天后改善FSFI分数方面,RF与PFMT无差,但这一效应减少了6个月.
- 骨盆底肌收缩在两组中都得到改善,在6个月后的PFMT组中观察到更好的结果.
结论:
- RF和PFMT都有效改善与阴道松相关的症状.
- 与RF相比,PFMT在6个月的阴道松治疗中显示出更高的长期疗效.
- 进一步的研究可以探索组合疗法或更长期的随访期.
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