中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
Chinese Journal of Epidemiology
2015年
9期
945-948
,共4页
不孕症%现患率%影响因素
不孕癥%現患率%影響因素
불잉증%현환솔%영향인소
Infertility%Prevalence rate%Influence factors
目的 了解新疆维吾尔自治区(新疆)维吾尔(维)族、哈萨克(哈)族不孕症分布及影响因素.方法 2008年10月至2009年3月新疆医科大学第一附属医院采用分层随机整群抽样方法,对鄯善县维族535例、福海县哈族322例已婚育龄妇女进行问卷调查和妇科检查,采用SPSS 17.0软件进行统计分析.结果 维族已婚育龄妇女不孕症总现患率为26.5％,哈族为21.7％,两族不孕症总现患率的差异无统计学意义(P＞0.05).维族妇女原发不孕的现患率为14.7％,哈族为8.7％,差异有统计学意义(P＜0.05);维族继发不孕的现患率为11.8％,哈族为13.0％,差异无统计学意义(P＞0.05).多因素分析显示影响维族不孕症发生的因素有经济收入、盆腔炎症、子宫内膜异位症、BMI;影响哈族不孕症发生的因素有结婚年龄、子宫内膜异位症、宫外孕史.结论 新疆维族和哈族已婚育龄妇女不孕症的现患率较高,但两族妇女患不孕症的危险因素不同,应有针对性开展宣传和诊治.
目的 瞭解新疆維吾爾自治區(新疆)維吾爾(維)族、哈薩剋(哈)族不孕癥分佈及影響因素.方法 2008年10月至2009年3月新疆醫科大學第一附屬醫院採用分層隨機整群抽樣方法,對鄯善縣維族535例、福海縣哈族322例已婚育齡婦女進行問捲調查和婦科檢查,採用SPSS 17.0軟件進行統計分析.結果 維族已婚育齡婦女不孕癥總現患率為26.5％,哈族為21.7％,兩族不孕癥總現患率的差異無統計學意義(P＞0.05).維族婦女原髮不孕的現患率為14.7％,哈族為8.7％,差異有統計學意義(P＜0.05);維族繼髮不孕的現患率為11.8％,哈族為13.0％,差異無統計學意義(P＞0.05).多因素分析顯示影響維族不孕癥髮生的因素有經濟收入、盆腔炎癥、子宮內膜異位癥、BMI;影響哈族不孕癥髮生的因素有結婚年齡、子宮內膜異位癥、宮外孕史.結論 新疆維族和哈族已婚育齡婦女不孕癥的現患率較高,但兩族婦女患不孕癥的危險因素不同,應有針對性開展宣傳和診治.
목적 료해신강유오이자치구(신강)유오이(유)족、합살극(합)족불잉증분포급영향인소.방법 2008년10월지2009년3월신강의과대학제일부속의원채용분층수궤정군추양방법,대선선현유족535례、복해현합족322례이혼육령부녀진행문권조사화부과검사,채용SPSS 17.0연건진행통계분석.결과 유족이혼육령부녀불잉증총현환솔위26.5％,합족위21.7％,량족불잉증총현환솔적차이무통계학의의(P＞0.05).유족부녀원발불잉적현환솔위14.7％,합족위8.7％,차이유통계학의의(P＜0.05);유족계발불잉적현환솔위11.8％,합족위13.0％,차이무통계학의의(P＞0.05).다인소분석현시영향유족불잉증발생적인소유경제수입、분강염증、자궁내막이위증、BMI;영향합족불잉증발생적인소유결혼년령、자궁내막이위증、궁외잉사.결론 신강유족화합족이혼육령부녀불잉증적현환솔교고,단량족부녀환불잉증적위험인소불동,응유침대성개전선전화진치.
Objective To investigate the prevalence of infertility and related factors in Uygur and Kazak women in Xinjiang Uygur autonomous region (Xinjiang).Methods Questionnaire survey and pelvic examination were conducted among 535 Uygur women and 322 Kazak women at reproductive age who were selected through stratified cluster random sampling in Sansan and Fuhai counties in Xinjiang.The data were analyzed with software SPSS 17.0.Results The prevalence of infertility among the Uygur and Kazak women were 26.5％ and 21.7％ respectively,the difference was not statistically significant (P＞0.05).The prevalence of primary infertility among the Uygur and Kazak women were 14.7％,and 8.7％,respectively,the difference was statistically significant (P＜ 0.05).The prevalence of secondary infertility among the Uygur and Kazak women were 11.8％ and 13.0％,respectively,the difference was not statistically significant (P＞0.05).The prevalence of infertility in the Uygur women was correlated with household income,pelvic inflammation,endometriosis and BMI,while the prevalence of infertility in the Kazak women was correlated with age of marriage,endometriosis and the history of ectopic pregnancy.Conclusion The prevalence of infertility was high among the Uygur and Kazak women at reproductive age in Xinjiang.The influencing factors varied with ethnic group.It is necessary to conduct targeted health education and provide early diagnosis and effective treatment.
