出 处:《中国实用医药》2025年第7期146-150,共5页China Practical Medicine
基 金:深圳市光明区软科学研究项目(项目编号:2021R01145)。
摘 要:目的调查深圳市光明区已婚女性性功能障碍(FSD)发病情况,在此基础上制定FSD的相关防治方法以及策略。方法随机选取深圳市光明区24~60岁已婚女性作为调查对象,利用问卷星网络在线调查平台,选择女性性功能指数调查量表(FSFI)及一般资料调查问卷进行调查。分析调查对象的基本情况及FSD发生情况。结果此次调查中,共回收有效问卷618份,调查对象年龄24~60岁,平均(32.4±6.3)岁;有妇科炎症史占比32.4%(200/618),未生育占比21.5%(133/618),有工作压力占比83.3%(515/618),有高血压/糖尿病病史占比5.0%(31/618)。618例调查对象中,FSD发生率为55.2%,其中以性生活满意度及性高潮障碍发生率较高。FSFI总分为(24.73±4.40)分。随着年龄增长,FSFI各维度评分及总分整体呈下降趋势,从51岁开始下降程度最明显。不同年龄段的FSFI各维度评分及总分比较差异具有统计学意义(P<0.05)。随着年龄增长,FSD发生率逐渐升高,不同年龄段FSD发生率比较差异具有统计学意义(P<0.05),其中51~60岁的FSD发生率高达91.7%。性生活满意度下降是性功能障碍中最为常见的类型(45.3%),其次是性高潮障碍(42.2%),主观性唤起能力障碍最少见(27.5%)。24~30岁与31~40岁的主观性唤起能力障碍发生率比较差异无统计学意义(P>0.05);其余各维度性功能障碍发生率随着年龄增长而逐步上升,不同年龄段的性欲望、阴道润滑性、性高潮、性生活满意度、性交疼痛障碍发生率比较差异具有统计学意义(P<0.05)。结论本次对深圳市光明区展开研究的过程中发现,FSD发病率居高不下,以性生活满意度下降及性高潮障碍为主,这对女性心理健康以及生活质量都造成较大影响,采取合理方式干预发病原因,对于提高女性的性健康和生育健康具有重大的意义。Objective To investigate the incidence of female sexual dysfunction(FSD)in married women in Guangming District,Shenzhen,and develop relevant prevention and treatment methods and strategies for FSD based on this.Methods Married women aged 24-60 years in Guangming District of Shenzhen were randomly selected as the survey subjects,and the Female Sexual Function Index(FSFI)and the General Information Questionnaire were used to conduct the survey using the Questionnaire Star network platform.The basic situation of the survey subjects and the occurrence of FSD were analyzed.Results In this survey,a total of 618 valid questionnaires were collected,and the respondents ranged 24-60 years old,with an average age of(32.4±6.3)years old.32.4%(200/618)had a history of gynecological inflammation,21.5%(133/618)had no children,83.3%(515/618)had work pressure,and 5.0%(31/618)had a history of hypertension/diabetes.Among the 618 survey subjects,the prevalence of FSD was 55.2%,with a higher prevalence of sexual satisfaction and orgasmic disorder;the total FSFI score was(24.73±4.40)points.The FSFI scores of all dimensions and total FSFI score showed an overall decreasing trend with increasing age,and the decline was most obvious from 51 years old.The difference in FSFI scores of all dimensions and total FSFI score of different age groups was statistically significant(P<0.05).The incidence of FSD gradually increased with age,and the difference in the incidence of FSD was statistically significant when comparing the incidence of FSD in different age groups(P<0.05),with a high incidence of 91.7%in the age group of 51-60 years.Decreased sexual satisfaction was the most common type of sexual dysfunction(45.3%),followed by orgasmic dysfunction(42.2%),and subjective arousal dysfunction was the least common(27.5%).There was no significant difference in the incidence of subjective arousal dysfunction between age groups of 24-30 years and 31-40 years(P>0.05).The incidence of other dimensions of sexual dysfunction gradually increased with the
关 键 词:女性性功能障碍 女性性功能指数调查量表 流行病学 已婚 深圳
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