腹部盆腔联合抚触疗法对产后性交痛的康复效果OA

Objective:To evaluate the clinical efficacy of abdominal-pelvic integrated touch therapy(APITT)on patients with postpartum dyspareunia.Methods:A total of 100 patients with postpartum dyspareunia treated at the Pelvic Floor Clinic of the Second Affiliated Hospital of Soochow University from September 1,2024 to August 31,2025 were enrolled and randomly divided into the APITT group(50 cases)and the control group(50 cases)via a random number table.The APITT group received standardized APITT,including specialized manual massage of the abdomen and pelvic floor combined with emotional counseling,for 30 minutes per session,twice weekly for 8 weeks.The control group received conventional electromyographic stimulation combined with biofeedback thera-py,standardized pelvic floor muscle training,and abdominal breathing training for the same duration.Outcomes were assessed at baseline and after 8 weeks of treatment using the visual analogue scale(VAS)for pelvic floor muscle tenderness,normal rate of pelvic floor electromyographic function indices,female sexual function index(FSFI),and hospital anxiety and depression scale(HADS).Results:After intervention,the VAS score for pelvic floor muscle tenderness in the APITT group was significantly lower than that in the control group(P<0.001).Ex-cept for the 60-second endurance contraction,the APITT group showed significantly higher normal rates in pre-resting electromyography,rapid contraction,10-second sustained contraction,and post-resting electromyogra-phy of the pelvic floor muscles than the control group(P<0.05).The FSFI score in the APITT group was signifi-cantly higher than that in the control group(P<0.001),while the total HADS score and its anxiety and depression subscale scores were significantly lower(P<0.001).Conclusions:APITT can more effectively relieve pelvic floor muscle tenderness,improve pelvic floor muscle function and female sexual function,and significantly alleviate anx-iety and depression in patients with postpartum dyspareunia.Its comprehensive efficacy is superior to convention-al rehabilitation regimens,meriting clinical promotion and application.