首页|圆房失败女性阴道痉挛的影响因素分析

圆房失败女性阴道痉挛的影响因素分析

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目的 调查分析因圆房失败来访夫妻中女性阴道痉挛的影响因素,为探索阴道痉挛的性治疗方法提供依据.方法 选取2020 年1 月至2022 年12 月在南京鼓楼医院就诊的94 位因圆房失败前来就诊的女性,选取岳文浩提供的阴道痉挛诊断量表,结合性治疗师的临床评估,采用1∶1 非配对方式分为阴道痉挛组(n =47)与非阴道痉挛组(n =47).两组给予基本情况量表、性欲低下量表、性兴奋障碍量表、性交疼痛量表及性厌恶量表调查,比较两组相关资料的差异.结果 两组在婚龄、病程、婚前性行为、性经验、性交疼痛、性交恐惧、性厌恶方面差异具有统计学意义(P<0.05).受教育程度、性知识、经济状况方面差异无统计学意义(P>0.05).结论 性交疼痛、性厌恶、性交恐惧、夫妻情感关系是阴道痉挛的影响因素,建议性治疗师给予患者PLISSIT干预模型、放松训练、认知行为疗法、系统脱敏疗法、性感集中训练几个方面的治疗,从而改善性观念、提高性唤起、减轻性交疼痛,克服性交恐惧、性厌恶,增进夫妻亲密关系,最终达到性及家庭的和谐.
Analysis of influencing factors of vaginal spasm in women with unconsummated marriage
Objective To investigate and analyze the influencing factors of female vaginal spasm in visiting couples due to unconsummated marriage,and to provide evidence for exploring the sexual treatment of vaginal spasm.Methods From January 2020 to December 2022,94 women who came to Nanjing Drum Tower Hospital for unconsummated marriage were selected.The diagnostic scale of vaginal spasm provided by Yue Wenhao was selected.Combined with the clinical evaluation of sex therapists,they were divided into vaginal spasm group(n =47)and non-vaginal spasm group(n =47)by1∶1 unpairedmethod.Thetwogroupsweregiven the basic situation scale,the low libido scale,the sexual excitement disorder scale,the sexual intercourse pain scale and the sexual aversion scale,and the differences of the relevant data between the two groups were compared.Results There were statistically significant differences between the two groups in marital age,course of disease,premarital sexual behavior,sexual experience,sexual pain,sexual fear,and sexual aversion(P<0.05).There was no statistically significant difference in education level,sexual knowledge,and economic status(P>0.05).Conclusion Sexual pain,sexual aversion,sexual fear and marital emotional relationship are the influencing factors of vaginal spasm.It is suggested that sex therapists should give patients PLISSIT intervention model,relaxation training,cognitive behavioral therapy,systematic desensitization therapy and sexual concentration training,so as to improve sexual concept,improve sexual arousal,relieve sexual pain,overcome sexual fear and sexual aversion,enhance the intimate marital relationship,and finally achieve sexual and family harmony.

vaginal spasmfemale sexual dysfunctioninfluencing factorssexual treatment

张颖、郑淑娟、张恩思、秦雪、崇武、车晓艳

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212013 江苏 镇江,江苏大学鼓楼临床医学院

210000 江苏 南京,南京大学医学院附属鼓楼医院男科

阴道痉挛 女性性功能障碍 影响因素 性治疗

南京鼓楼医院一般课题中国心理卫生协会护理心理专业委员会"护理心理科学研究规划课题"重点课题(A类)(2022-2023)江苏大学科研立项项目(第二十二批)

2023-R17222-23-4222A483

2024

中国计划生育和妇产科
中国医师协会 四川省医学情报研究所

中国计划生育和妇产科

CSTPCD
影响因子:1.116
ISSN:1674-4020
年,卷(期):2024.16(4)
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