关键词:

女性性功能障碍,  , 盆底功能障碍,  , 影响因素 ,  ,  ,

Abstract:

Objective To investigate the relationship between pelvic floor dysfunction（PFD）and female sexual dysfunction（FSD）and the influence factors of FSD. Methods Participants included 841 multiparous women whose baseline data were collected. PFD and FSD screening，analysis of surface electromyography（EMG），pelvic organ prolapse quantification（POP ⁃Q），and evaluation of pelvic floor muscle（PFM）strength and self ⁃ rating depression scale（SDS）were implemented in all participants. Univariate analysis and multivariate logistic regres⁃ sion were used to identify the relationship between PFD and FSD as well as influence factors of FSD. Results Among all the participants，603 had PFD（71.4%）；581 encountered with FSD（61.6%），including 285 cases of desire disorder（33.9%），292 of dyspareunia（34.7%），137 of arousal disorder（16.3%），and 190 of orgasm disorder（22.6%）. There were 397（65.8%）FSD patients among those with PFD. After univariate analysis，multi⁃ variate logistic regression showed CPP was independently associated with increasing risk of arousal disorder，dyspa⁃ reunia and orgasm disorder. Age and SDS were risk factors of desire disorder and arousal disorder；age was a pro⁃ tective factor but SDS a risk factor of dyspareunia；menopause，POP⁃Q stage of posterior vaginal wall（Stage I）， and SDS were risk factors for orgasm disorder（P < 0.05）. Conclusion There is high prevalence of FSD among PFD patients. CPP has strong association with FSD. The critical influencing factors of FSD are age，menopause and depression.

Key words: female sexual dysfunction,  , influencing factors,  , pelvic floor dysfunction disease