首都医科大学学报 ›› 2017, Vol. 38 ›› Issue (4): 509-514.doi: 10.3969/j.issn.1006-7795.2017.04.005

• 更年期与妇科内分泌 • 上一篇    下一篇

北京及周边地区围绝经期女性性功能现状调查分析

金凤羽1, 阮祥燕1,2, Alfred O. Mueck1,2, 刘玉兰1, 杜娟1   

  1. 1. 首都医科大学附属北京妇产医院内分泌科, 北京 100026;
    2. 德国图宾根大学妇女医院妇女保健科, 图宾根 D-72076, 德国
  • 收稿日期:2017-06-05 出版日期:2017-07-21 发布日期:2017-07-20
  • 通讯作者: 阮祥燕 E-mail:ruanxiangyan@163.com
  • 基金资助:
    国家外国专家局2017年度北京市引进国外技术、管理人才项目(20171100004),首都临床特色应用研究与成果推广(Z161100000516143),首都卫生发展科研专项项目(2016-2-2113),北京市医院管理局临床技术创新项目(XMLX201710),北京市卫生系统高层次卫生技术人才(学科带头人)(2014-2-016),首都医科大学附属北京妇产医院中青年学科骨干培养专项(fcyy201428)

Investigation and analysis of sexual status of perimenopausal women in Beijing and its surrounding areas

Jin Fengyu1, Ruan Xiangyan1,2, Alfred O. Mueck1,2, Liu Yulan1, Du Juan1   

  1. 1. Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China;
    2. Section of Endocrinology and Menopause, Department of Women's Health, University of Tubingen, Tubingen D-72076, Germany
  • Received:2017-06-05 Online:2017-07-21 Published:2017-07-20
  • Supported by:
    This study was supported by Foreign Technical and Administrative Talent Introduction Project in 2017, State Administration of Foreign Experts Affairs, the P. R. of china(20171100004);Capital Characteristic Clinic Project of China(Z161100000516143); Beijing Capital Foundation for Medical Science Development and Research(2016-2-2113); Clinical Technique Innovation Project of Beijing Municipal Administration of Hospitals(XMLX201710); Beijing Municipality Health Technology High-level Talent(2014-2-016);Special Project for Training Young and Middle-Aged Subjects, Beijing Obstetrics and Gynecology Hospital, Capital Medical University(fcyy201428)

摘要: 目的 调查中国北京周边地区围绝经期女性性功能障碍的患病率和患病类型,分析围绝经期女性性功能的影响因素。方法 采用横断面研究方法,使用女性性功能指数量表(Female Sexual Function Index,FSFI)和Kupperman评分量表和自制量表对北京及周边地区围绝经期女性进行问卷调查,并分析和探讨调查结果。结果 共发放407份问卷,回收308例有效问卷进入统计学分析,有效回收率75.6%。北京周边地区围绝经期女性性功能障碍总体发病率为84.1%,性欲障碍、性唤起障碍、阴道润滑、性高潮、性交痛和性满意度发生率分别为95.5%、69.8%、60.7%、66.9%、69.5%和69.2%。不同年龄组围绝经期女性在性欲障碍、性唤起障碍、阴道的润滑度、性高潮障碍、性满意障碍以及性交痛等6个维度的得分差异有统计学意义(P<0.05)。结论 影响围绝经期女性性功能的主要因素有年龄、绝经、激素补充、经济水平和身体健康状况。

关键词: 围绝经期, 性功能障碍, 女性性功能指数量表

Abstract: Objective To investigate the prevalence and types of sexual dysfunction among perimenopausal women in Beijing and its surrounding areas, and to analyze the influencing factors of sexual function in perimenopausal women. Methods This was a cross-sectional study. The patients from Beijing and the surrounding areas were investigated with the Female Sexual Function Index Scale (FSFI) and Kupperman scale and self-made questionnaire. Results A total of 407 questionnaires were granted, and 308 valid questionnaires were collected and statistically analyzed. The effective rate of recovery was 75.6%. The overall incidence of menopausal female sexual dysfunction in the surrounding area of Beijing is 84.1%, sexual desire disorder, sexual arousal disorder, vaginal lubrication, orgasm, sexual pain and sexual satisfaction rate were 95.5%, 69.8%, 60.7%, 66.9%, 69.5% and 69.2%. Different age groups of perimenopausal women in 6 dimensions of sexual function index scores were significantly different (P<0.05). Conclusion The main factors affecting sexual function of perimenopausal women are age, menopause, hormone supplement, economic level and health status.

Key words: perimenopausal period, sexual dysfunction, Female Sexual Function Index Scale

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