甘肃省不孕症患病率及其影响因素分析  

Analysis on Infertility Prevalence and Its Affecting Factors in Gansu Province

作　　者：张学红[1] 张瑞[1] 赵丽辉[1] 刘琨[1] 周燕[1] 杨婷[1] 赵金珠[1] 贾学玲[1] 

机构地区：[1]兰州大学第一医院生殖医学专科医院,兰州730000

出　　处：《生殖与避孕》2013年第3期184-192,共9页Reproduction and Contraception

摘　　要：目的:了解甘肃省育龄夫妇不孕症(infertility)患病率现状及其可能的影响因素。方法:运用分层整群抽样法抽取自然人群中具有代表性的2 621个已婚育龄家庭为研究对象,采用问卷调查方式,对甘肃省育龄夫妇不孕症患病情况进行横断面调查,同时调查其有关的流行病学因素。采用EpiData软件建立数据库,双人录入法进行数据录入,数据采用SPSS 15.0软件进行统计学分析。结果:甘肃省原发不孕的患病率为13.08%,继发不孕的患病率为35.25%;调查结果显示,育龄妇女年龄、月经周期及男方的体质量指数(BMI)和吸烟情况均是原发不孕的危险因素;继发不孕除以上因素外,育龄夫妇的活产次数、死胎次数、自然流产数、人工流产数及药物流产史也是其危险因素。结论:甘肃省原发不孕患病率为13.08%,促进和帮助欠发达地区的经济发展、加大教育及医疗卫生的投入、加强宣传,消除生殖健康隐患将有助于降低不孕率。Objective： To identify the prevalence and correlated risk factors of infertility in childbearing age couples of Gansu Province. Methods： Samples were selected from the couples at the age of childbearing in Gansu Province by stratified randomduster sampling. A face to face interview was conducted to fill the unified question- naires by trained interviewers. Altogether 2 621 qualified questionnaires were used to calculate the incidence of infertility and to analyse the risk factors related to the infertility. Results： The incidence of primary infertility in Gansu Province was about 13.08%, and the incidence of secondary infertility in Gansu Province was about 35.25%. The occurrence of infertility was related to the age of childbearing women, the age of marriage, occupations, the education level and reproductive system inflammation. Conclusion： The incidence of primary infertility in Gansu Province was about 13.08%. To promote agricultural economic development, increase input in agriculture health care and strengthen public education will be of benefit to reduce the incidence of the infertility.

关 键 词：不孕症 患病率 横断面调查 相关因素 

分 类 号：R711.6[医药卫生—妇产科学]