妇科良性疾病与女性性功能障碍相关性分析  

Correlation between benign gynecological disease and female sexual dysfunction

作　　者：陈亚[1] 李致远[1] 王文第[1] 刘青[1] 

机构地区：[1]甘肃省妇幼保健院,兰州730050

出　　处：《生殖医学杂志》2017年第10期995-999,共5页Journal of Reproductive Medicine

基　　金：2017年甘肃省科技计划项目(17YF1FA109)

摘　　要：目的探讨妇科良性疾病与女性性功能障碍(FSD)相关性,为防治FSD的发生及防治提供理论依据。方法采用横断面调查方法,选取中等收入城市及农村居民区20岁及其以上女性进行问卷调查,收集其人口学特征及目前所患妇科疾病(经诊断确诊过的疾病)等信息。采用中文版女性性功能量表(FSFI)进行FSD评估,总分小于26.55说明存在FSD。应用多因素非条件Logistic回归模型分析妇科良性疾病与FSD相关性。结果发放问卷1 130份,收回1 068份(回收率94.5%),去除不符合要求问卷80份,共纳入有效问卷988份。988例被访者中妇科良性疾病患者占39.8%(393/988),为患病组,其余为健康组。393例患者中,性功能障碍者占71.2%(280/393),高于健康组性功能障碍患病率(P<0.05)。与健康组相比,患病组在总分及性欲、性唤起、性高潮方面的评分分值均较健康组低(P<0.05)。多因素非条件Logistic回归分析显示,妇科良性疾病、年龄(≥40岁)及绝经是FSD的独立危险因素,较高的教育水平是其保护性因素。结论 FSD是一个重要的公共卫生问题,甘肃省在妇科良性疾病者中FSD现患率较高,应加强性健康教育,降低FSD发生率。Objective: To explore the association between benign gynecological disease and female sexual dysfunction(FSD)in order to provide a theoretical basis for the prevention and control of FSD.Methods: This cross-sectional descriptive survey included the women aged !20years old from the medium income city and rural residential area in Gansu.The respondents were interviewed to collect information of socio-demographic characteristics and gynecological disease confirmed.The Chinese version of female sexual function index(CVFSFI)questionnaire was applied to assess their sexual function,and the total score less than 26.55 indicates the presence of FSD.Unconditional logistic regression models were used to estimate odds ratio and 95% confidence interval for the association of benign gynecological disease and FSD.Results: A total of 1130 copies of the questionnaire were given out,and 1068 were taken back(recovery rate 94.5%).A total of 988 questionnaires were valid after 80 incompetent questionnaires were removed.Women with benign gynecological disease accounted for 39.8%(393/988)in 988 women interviewed.Women with FSD accounted for 71.2%(280/393)among 393 women with benign gynecological disease,which was significantly higher in women without diseases(P < 0.05).The women with gynecological disease got lower score in sexual desire,sexual arousal,orgasm and total score compared women without gynecological disease(P<0.05).The results of multivariate logistic regression analysisshowed that benign gynecological disease,age(≥40years),menopause were the independent risk factors of FSD,and the high education level was the protective factor.Conclusions: FSD is a significant public health problem.Incidence of FSD was higher in women with benign gynecological disease in Gansu women.Female sexual health education should be strengthened to reduce the FSD.

关 键 词：妇科良性疾病 女性性功能障碍 女性性功能量表 调查研究 

分 类 号：R[医药卫生]