中老年女性性生活不适感与绝经症状的相关性研究.docVIP

中老年女性性生活不适感与绝经症状的相关性研究 耿露露 郑燕伟 周杨 陶敏芳 上海交通大学附属第六人民医院妇产科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 通过对4060岁中老年女性性生活不适感的调查, 探讨中老年女性性生活不适感的患病率以及绝经症状等因素的影响。方法 收集2015年6月至2016年6月于上海交通大学附属第六人民医院健康体检中心参加健康体检的4060岁女性, 采用问卷方式调查人口学特征, 采用Kupperman评分量表评估绝经症状, 以无、轻、中、重4个等级评估性生活不适感, 资料采用SPSS 20.0软件进行统计分析。结果 共纳入2 374名研究对象, 性生活不适感的患病率为37.5%, 且以轻度 (30.4%) 为主;绝经后妇女性生活不适感患病率 (48.7%) 显著高于围绝经期 (31.5%) 和绝经前 (8.3%) 妇女 (P0.01) 。随着绝经症状程度加重, 性生活不适感的患病率增高 (P0.01) , 潮热出汗、感觉异常、失眠、情绪波动、眩晕、心悸、高文化程度、糖尿病、绝经状态是其危险因素 (P0.01) ;而工作状态 (在职vs.退休) 、较高经济水平与性生活不适感呈负相关 (P0.01) 。结论 中老年女性性生活不适感患病率高, 与绝经状态、绝经症状、文化程度、经济状况、工作状态、糖尿病密切相关。社会应关注中老年女性性健康问题, 医护人员应给予及时的指导帮助, 以提高中老年女性的性满意度及生活质量。 关键词： 性生活不适; 绝经; 绝经症状; 影响因素; 作者简介：耿露露, 女, 安徽淮北人, 硕士, 妇产科学专业. 作者简介：陶敏芳, Email:taomf@sjtu.edu.cn 收稿日期：2017-06-06 基金：上海市卫计委基金 (GWIV-15) Correlation between sexual discomfort and menopausal symptoms in middle-old aged women GENG Lu-lu ZHENG Yan-wei ZHOU Yang TAO Min-fang Department of Gynecology Obstetrics, Affiliated Sixth Peoples Hospital, Shanghai Jiao Tong University; Abstract： Objective: To explore the prevalence and associated factors of sexual discomfort in middle-old aged women through a survey for sexual discomfort of women aged 40-60 years old.Methods: The women aged 40-60 years old who received physical examination in the sixth peoples hospital affiliated to Shanghai Jiao Tong University from Jun.2015 to Jun.2016 were enrolled in this study.They were investigated with a general questionnaire, Kupperman Index (KMI) and the sexual condition scale.All date were analyzed by SPSS 20.0.Results: A total of 2 374 women were included for analysis.The prevalence of sexual discomfort was37.5% and the most of sexual discomfort was mild (30.4%) .The prevalence in postmenopause women (48.7%) was significantly higher than that in perimenopausal women (31.5%) and premenopausal women (8.3%) (P 0.01) .With the increasing degree of menopausal symptoms, the prevalence of sexual discomfort wa