Analysis of the Efficacy of Temperature-controlled RF combined with Electrical Stimulation Biofeedback for Postpartum Dyspareunia in Women

Xinghui CHEN; Yuan WANG; Lichi ZHANG; Aiju CHEN; Junjing HE; Lisha MA

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Xinghui CHEN, Yuan WANG, Lichi ZHANG, Aiju CHEN, Junjing HE, Lisha MA. Analysis of the Efficacy of Temperature-controlled RF combined with Electrical Stimulation Biofeedback for Postpartum Dyspareunia in Women[J]. Journal of Kunming Medical University.

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Analysis of the Efficacy of Temperature-controlled RF combined with Electrical Stimulation Biofeedback for Postpartum Dyspareunia in Women

Health Management center，Kunming City Maternal and Child Health Hospital，Kunming Yunnan 650031，China

Received Date: 2024-09-01
Available Online: 2025-02-18

Abstract

Abstract

Objective To explore the therapeutic effects of temperature-controlled radiofrequency combined with electrical stimulation biofeedback on postpartum dyspareunia in women. Methods In this study, 166 patients suffering from dyspareunia due to pelvic floor muscle hypertonicity who visited the Pelvic Floor Rehabilitation Medicine Center of our hospital were selected as subjects. They were randomly divided into three groups: the electrical stimulation biofeedback treatment group （55 cases）, the radiofrequency treatment group （55 cases）, and the combined electrical stimulation biofeedback and radiofrequency treatment group （56 cases）. Patients in the electrical stimulation biofeedback therapy group received only electrical stimulation biofeedback therapy; patients in the radiofrequency group were treated solely with radiofrequency therapy; and patients in the combined treatment group began receiving gynecological radiofrequency treatment from the second week, in addition to the same treatment as the electrical stimulation biofeedback treatment group. To evaluate the effectiveness of the three treatment methods, comparative analyses were conducted on the pelvic floor modified Oxford muscle strength measurement results, pelvic floor surface electromyography values, and sexual function （FSFI） scores of the three groups of patients before and after treatment. Results After treatment, the average resting electromyography （EMG） value of the combined treatment group decreased （P < 0.05）, indicating a significant improvement in muscle relaxation function. After treatment, the combined treatment group showed significant improvements in the pelvic floor modified Oxford muscle strength test, the maximum EMG value of fast-twitch （type II fibers） muscles, the average EMG value of slow-twitch （type I fibers） muscles, and the average EMG value of endurance test, and also demonstrated significant improvements in sexual function （FSFI） scores, which were superior to the electrical stimulation biofeedback treatment group and the radiofrequency treatment group （P < 0.05）. Conclusion The combined treatment of temperature control radiofrequency and electrical stimulation with biofeedback has shown significant therapeutic effects in the treatment of postpartum dyspareunia, offering a broad prospect for clinical application.
- Temperature-controlled radiofrequency,
- Electrical stimulation biofeedback treatment,
- Dyspareunia

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[1]	Female Sexual Dysfunction: ACOG Practice bulletin clinical management guidelines for obstetrician-gynecologists,number 213[J]. Obstet Gynecol,2019,134(1): e1-e18.
[2]	Arthur S S,Dorfman C S,Massa L A,et al. Managing female sexual dysfunction[J]. Urol Oncol,2022,40(8):359-365. doi: 10.1016/j.urolonc.2021.06.006
[3]	林丽,李喜梅,毛郁蕾,等. 产后性功能障碍的流行病学特征及临床干预措施分析[J]. 中国妇幼保健,2023,38(22):4416-4419.
[4]	Hong J Y,Kwon T R,Kim J H,et al. Prospective,preclinical comparison of the performance between radiofrequency microneedling and microneedling alone in reversing photoaged skin[J]. J Cosmet Dermatol,2020,19(5):1105-1109. doi: 10.1111/jocd.13116
[5]	Turer D M,James I B,DiBernardo B E. Temperature-controlled monopolar radiofrequency in the treatment of submental skin laxity: A prospective study[J]. Aesthet Surg J,2021,41(11):P1647-P1656. doi: 10.1093/asj/sjab107
[6]	宋文静,王晶,刘美华,等. 温控射频治疗盆底功能障碍性疾病的研究进展[J]. 国际妇产科学杂志,2023,50(2):176-180.
[7]	岑慧. 个性化盆底康复电刺激联合生物反馈治疗方案应用于压力性尿失禁患者中的临床效果[J]. 实用妇科内分泌电子杂志,2024,11(14):47-49.
[8]	卢敏,袁苗,赵芳芳,等. 基于盆底检测结果的个性化治疗方案对产后盆底肌功能康复的影响[J]. 中国计划生育和妇产科,2023,15(10):52-55+81.
[9]	孟林娜. 电刺激生物反馈疗法联合个性化盆底康复训练对老年女性子宫脱垂患者盆底肌电值及尿动力学的影响[J]. 反射疗法与康复医学,2022,3(9):42-44+48.
[10]	邢祺,张辉,黄强民,等. 肌筋膜触发点的诊断和治疗研究进展[J]. 保健医学研究与实践,2021,18(2):7-12.
[11]	孙丽洲,朱兰. 妇产康复[M]. 北京:人民卫生出版社,2018:176-177.
[12]	王红燕,冯素文. 孕产妇盆底肌训练研究进展[J]. 中国实用护理杂志,2018(30):2398-2400.
[13]	Oleksy L,Wojciechowska M,Mika A,et al. Normative values for glazer protocol in the evaluation of pelvic floor muscle bioelectrical activity[J]. Medicine (Baltimore),2020,99(5):e19060.
[14]	陈娟,任远,朱兰. 改良牛津肌力分级和盆底表面肌电评估女性压力性尿失禁患者盆底肌功能的相关性[J]. 中华医学杂志,2020,37(100):2908-2912.
[15]	温颖能,卢秋莲,王艳. Glazer盆底表面肌电评估产后盆底肌功能康复应用效果[J]. 中国计划生育学杂志,2023,31(5):1105-1109.
[16]	李青,远丽,徐青. 女性性功能指数的使用现状[J]. 中国康复理论与实践,2014,20(11):1081-1082.
[17]	朱兰等. 女性盆底学[M]. 人民卫生出版社,2014.
[18]	董凌燕,陶茜,龚成,等. 女性盆底功能障碍性疾病的发病机制和康复治疗的研究进展[J]. 中外医学研究,2023,21(36):180-184.
[19]	金宗兰,陈萍萍,陈梅霞,等. 中国女性性功能障碍现状及影响因素分析[J]. 中国公共卫生,2021,37(11):1616-1620.
[20]	李文宇,张玉,应婷,等. 产后女性性功能障碍影响因素研究进展[J]. 中国妇幼卫生杂志,2021,12(4):89-93.
[21]	曾江忠,吴秀秀,林丽. 顺产初产妇发生产后性功能障碍的危险因素分析及风险预测列线图模型构建[J]. 中国妇幼保健,2024,39(1):96-100.
[22]	尚禹. 初产妇经阴道分娩与剖宫产对产后压力性尿失禁及盆底肌力的影响[J]. 医学信息,2020,33(18):107-108.
[23]	刘延玲,周志强. 初产妇不同分娩方式中产后盆底肌力筛查情况及影响因素分析[J]. 临床研究,2022,30(9):49-52.
[24]	刘益芬,何玉甜,宋成宪,等. 初产妇的不同分娩方式对产后早期盆底功能的影响[J]. 广州医科大学学报,2018,46(2):48-51.
[25]	Lipschuetz M,Cohen S M,Liebergall-Wischnitzer M,et al. Degree of bother from pelvic floor dysfunction in women one year after first delivery[J]. Eur J Obstet Gynecol Reprod Biol,2015,191:90-94. doi: 10.1016/j.ejogrb.2015.05.015
[26]	Durnea C M,Khashan A S,Kenny L C,et al. Prevalence,etiology and risk factors of pelvic organ prolapse in premenopausal primiparous women[J]. Int Urogynecol J,2014,25(11):1463-1470. doi: 10.1007/s00192-014-2382-1
[27]	赵丽君,王建六. 射频技术在女性私密健康和年轻化中的应用[J]. 中国医疗美容,2021,11(2):113-116.
[28]	刘晓芳,黎培培,吴红,等. 新型射频治疗女性阴道松弛的疗效分析[J]. 中国医疗美容,2021,11(5):17-20.
[29]	李莉,吴小琴,刘芳. AI温控射频治疗阴道松弛的疗效分析[J]. 中国医疗美容,2021,11(8):40-43.
[30]	冯燕飞,张清芬,王文志,等. 新型射频治疗女性性交痛的疗效分析[J]. 中国医疗美容,2021,11(10):45-47.
[31]	罗军,阳丽,何薇薇,等. 新型射频治疗女性性功能障碍的疗效分析[J]. 中国医疗美容,2021,11(3):41-44.

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