新疆维吾尔自治区三个县女性不孕症现况调查  

A cross-sectional study on the current status of female infertility in three counties of Xinjiang Uygur Autonomous Region

作　　者：蔡霞[1] 宋荣 龙梅[1] 王松峰[1] 玛依热[1] 李霞[1] 艾海权[1] 单湘婷[1] 付丽莉[1] 刘阳[1] 

机构地区：[1]新疆医科大学第一附属医院生殖助孕中心,乌鲁木齐830054 [2]新疆维吾尔自治区哈密地区吐哈石油医院妇产科

出　　处：《中华医学杂志》2011年第45期3182-3185,共4页National Medical Journal of China

基　　金：国家科技支撑计划课题（2007BAI07A14）

摘　　要：目的 了解新疆维吾尔自治区女性不孕症的分布现况、民族差异及影响因素,为不孕症的预防及诊治提供指导依据.方法 于2008年10月至2009年3月新疆医科大学第一医院采用分层随机整群抽样方法,对新疆维吾尔自治区福海县、和丰县、鄯善县1895例已婚育龄妇女进行问卷调查和妇科检查.用EpiData软件建立数据库,采用SPSS 17.0进行统计分析.结果 3个县中患病率最高为26.2％（144/550）,最低为7.5％（76/1014）,平均患病率为15.2％（279/1835）.鄯善县及当地聚居的维族居民患病率最高.文化程度越低、收入水平越低不孕症患病风险越高；职业为农牧民、初次性交年龄≤20岁、体质量指数＜ 18.5 kg/m2、患有多囊卵巢综合征（PCOS）或盆腔炎、具有流产史者不孕风险高.结论 应指导人们正确的生活方式,提高偏远农牧区的生殖保健意识,提供必要的性与避孕咨询与服务,尤其避免或减少青少年婚前性行为和未婚人工流产,预防或减少不孕症的发生,加强不孕症的诊治,提高生殖健康水平.Objective To explore the distribution and factors associated with female infertility in 3 areas in Xinjiang Uygur Autonomous Region so as to provide rationales for the prevention,diagnosis and treatment of infertility.Methods A total of 1895 women of reproductive age were enrolled with a cluster random stratified sampling method.A questionnaire survey and pelvic examinations were conducted.The collected data were statistically analyzed.Results The prevalence of infertility in these three areas ranged from 7.5 %（76/1014）to 26.2%（144/550）with an average of 15.2%（279/1835）.The prevalence of infertility was the highest in Shan shan and it was related with its unique geographical environment and life style.The lower levels of education and income,the higher prevalence of infertility.The occurrence of infertility was also correlated with their residence,premarital sex,body mass index and some concurrent diseases.Conclusion It is necessary to carry out further studies on healthful life styles and those factors associated with the morbidity of infertility.The prevalence of infertility may be reduced and local reproductive health improved by avoiding or reducing the adolescent premarital sex and unmarried abortion.

关 键 词：不孕症 现况调查 患病率 LOGISTIC回归 

分 类 号：R711.6[医药卫生—妇产科学]