中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2011年
45期
3182-3185
,共4页
蔡霞%宋荣%龙梅%王松峰%玛依热%李霞%艾海权%单湘婷%付丽莉%刘阳
蔡霞%宋榮%龍梅%王鬆峰%瑪依熱%李霞%艾海權%單湘婷%付麗莉%劉暘
채하%송영%룡매%왕송봉%마의열%리하%애해권%단상정%부려리%류양
不孕症%现况调查%患病率%Logistic回归
不孕癥%現況調查%患病率%Logistic迴歸
불잉증%현황조사%환병솔%Logistic회귀
Infertility%Prevalence%Cross-sectional Study%Logistic regression
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.
目的 瞭解新疆維吾爾自治區女性不孕癥的分佈現況、民族差異及影響因素,為不孕癥的預防及診治提供指導依據.方法 于2008年10月至2009年3月新疆醫科大學第一醫院採用分層隨機整群抽樣方法,對新疆維吾爾自治區福海縣、和豐縣、鄯善縣1895例已婚育齡婦女進行問捲調查和婦科檢查.用EpiData軟件建立數據庫,採用SPSS 17.0進行統計分析.結果 3箇縣中患病率最高為26.2％(144/550),最低為7.5％(76/1014),平均患病率為15.2％(279/1835).鄯善縣及噹地聚居的維族居民患病率最高.文化程度越低、收入水平越低不孕癥患病風險越高；職業為農牧民、初次性交年齡≤20歲、體質量指數＜ 18.5 kg/m2、患有多囊卵巢綜閤徵(PCOS)或盆腔炎、具有流產史者不孕風險高.結論 應指導人們正確的生活方式,提高偏遠農牧區的生殖保健意識,提供必要的性與避孕咨詢與服務,尤其避免或減少青少年婚前性行為和未婚人工流產,預防或減少不孕癥的髮生,加彊不孕癥的診治,提高生殖健康水平.
목적 료해신강유오이자치구녀성불잉증적분포현황、민족차이급영향인소,위불잉증적예방급진치제공지도의거.방법 우2008년10월지2009년3월신강의과대학제일의원채용분층수궤정군추양방법,대신강유오이자치구복해현、화봉현、선선현1895례이혼육령부녀진행문권조사화부과검사.용EpiData연건건립수거고,채용SPSS 17.0진행통계분석.결과 3개현중환병솔최고위26.2％(144/550),최저위7.5％(76/1014),평균환병솔위15.2％(279/1835).선선현급당지취거적유족거민환병솔최고.문화정도월저、수입수평월저불잉증환병풍험월고；직업위농목민、초차성교년령≤20세、체질량지수＜ 18.5 kg/m2、환유다낭란소종합정(PCOS)혹분강염、구유유산사자불잉풍험고.결론 응지도인문정학적생활방식,제고편원농목구적생식보건의식,제공필요적성여피잉자순여복무,우기피면혹감소청소년혼전성행위화미혼인공유산,예방혹감소불잉증적발생,가강불잉증적진치,제고생식건강수평.
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.
