福海县育龄妇女不孕症的调查分析word格式论文.docxVIP

摘要福海县育龄妇女不孕症的调查研究研究生：王松峰导师：蔡霞教授摘要目的：通过对阿勒泰地区福海县育龄妇女人群不孕症进行现况调查，了解该县妇女人群不孕分布的现状、不孕的病因、高危因素。方法：采用随机抽样方法，对该县育龄妇女采用问卷调查、妇科检查和女性内分泌激素检查三部分等进行调查。数据采用单因素分析。结果：71例被调查育龄妇女中查出不孕症61 例，不孕症现患病率22．5%，其中原发不孕占8.85%，继发不孕占13.65%。不孕原因分析：比较35岁以上组和35岁以下组不孕症患病率（x2=4.53，P0.05），差异有统计学意义；本次调查人群中农民所占比例为38%较其他职业高，初中文化程度以下的妇女所占比例为49.6%，提示调查人群文化程度普遍低；调查人群中哈族育龄妇女所占比例高，通过与福海人口民族构成进行卡方检验，差异无统计学意义；被调查人群平均初婚年龄为22.26土1.1岁，93%的妇女初婚年龄均20岁；经单因素分析发现，不孕症组中既往有阴道炎、盆腔炎、人工流产史的比例高于对照组，是不孕症的危险因素；女性内分泌激素检查结果表明，不孕症患者卵泡期E，P，PRL，FSH较高；黄体期主要表现为P水平较低，E略有下降，LH较高。结论：慢性盆腔炎症、阴道炎和人工流产是不孕症的主要危险因素，应注意预防和治疗盆腔感染，减少盆腔手术的干扰和创面损伤，避免非意愿的妊娠，采用口服避孕药等具有保护作用的避孕方法。关键词：不孕；女性；病因；危险因素新疆医科大学医学硕士学位论文The Investigation Study Of Infertility In Fu Hai County in Xinjiang ProvincePostgraduate:WangSongFengDissertation:Supervisor:CaiXiaProfAbstractObjective:isinvestigationaltayprefecturethroughthecrowdscountyweresurvey, infertilitycountywomensstatus,thedistributionofpopulationinfertilityriskfactorsandcausesofinfertility.Methods:singrandomsamplingmethod.Including:questionnaire,examinationofdepartmentofgynaecologyandlaboratorytests.Dataanalysisbysinglefactoranalysis.Results:271casesofwomeninvestigatedfoundoutinfertility61casesof infertility,infertility prevalencerateis22.5%,accountedfor8.85%ofprimaryinfertility, accountedfor13.65%ofsecondaryinfertility,morethanthirtyfiveyearesofagegroupandlessthanthirtyfiveyearesofagegrouptheprevalenceofinfertility(x2=4.53,P0.05),thedifferencewasstatisticallysignificant,farmsinthissurveyaccountfor38%, higherthaninotherprofessions.Juniormiddleschooleducationaccountedfor49.6%, showedthesurveypopulationisgenerallylowleverofeducation.Kazakpopulationsurveyhighpercentageofwomenofchildbearingage.Thisdifferentintheethniccompositionthepopulationoffuhaitoadoptsinglefactoranalysis.toprovethattherewasnosignificant.Theaverageageatfirstmarriagehasbeensurveyed22.26±1.1age.93%ofwomenolderthan20years.ofageatfirstmarriage.Univariateanalysisshowed,thegroupsufferedfrominfertilityhadvaginitis﹑pelvicinflammatorydisease﹑historyofabortionh