育龄人群不孕不育影响因素分析

目的:探讨影响育龄人群不孕不育的因素。方法:使用问卷调查的方法,对山东省1 842对20～44岁育龄夫妇进行不孕不育影响因素调查。结果:①单因素分析结果显示,影响不孕不育的女性因素包括年龄、结婚年龄、民族、职业、文化程度、人均收入、身高、体重、月经规律情况、月经周期情况、月经量、痛经、继发性闭经情况、子宫疾病、卵巢疾病、输卵管疾病、宫颈疾病、阴道分泌物、阴道分泌物异味、盆腔感染情况、流引产次数、清宫术次数、药物流产次数、有无宫外孕、腹腔手术次数、精神病史、下腹疼痛史、长期服药史、两地分居、曾用避孕药、曾用IUD、有害物质接触史、重大不良生活史、精神压力等。影响不孕不育的男性因素包括职业、文化程度、人均收入、身高、体重、染色体情况、睾丸疾病、附睾疾病、输精管疾病、射精异常、高热史、精索静脉曲张、有害物质接触史、工作强度、高温作业、接触噪音、精神压力等。②多因素分析结果显示,育龄人群不孕不育的影响因素包括月经量、痛经、子宫疾病、输卵管疾病、清宫次数、分居、女方精神压力、男方职业、男方体重、男方睾丸情况等。结论:加强宣传,提高育龄群众自身素质;加强管理,为广大育龄群众提供优质服务;加强生殖健康教育,可降低不孕症的发病率。

Analysis on the effect factors of infertility among the population of childbearing age

Objective:To explore the effect factors of infertility among the population of childbearing age.Methods:A questionnaire survey method was used to investigate the effect factors of infertility among 1 842 couples aged 20-44 years old in Shandong province.Results:The results of univariate analysis showed that the effect factors of female infertility included age,marriage age,nationality,occupation,educational level,average per capita income,body height,body weight,regularity of menstruation,menstrual cycle,menstrual volume,dysmenorrhea,secondary amenorrhea,uterine diseases,ovarian diseases,tubal diseases,cervical diseases,vaginal section,peculiar smell of vaginal section,pelvic infection,times of induced abortion,times of curettage of uterine cavity,times of induce abortion with drug,ectopic pregnancy,times of abdominal surgery,medical history of mental diseases,medical history of lower abdominal pain,taking medicine for a long time,separation in two places,taking contraceptive drugs,using intrauterine device,history of exposure to hazardous substances,adverse life history,and mental stress.The effect factors of male infertility included occupation,educational level,average per capita income,body height,body weight,chromosomal diseases,testicular diseases,epididymal diseases,tubal diseases,disorder of ejaculation,medical history of hyperpyrexia,varicocele,history of exposure to hazardous substances,working strength,working at high temperature,exposure to noises,and mental stress.The results of multivariate analysis showed that the effect factors of infertile population of childbearing age included menstrual volume,dysmenorrhea,uterine diseases,tubal diseases,times of curettage of uterine cavity,separation in two places,female mental stress,male occupation,male body weight,and testicular diseases.Conclusion:Enhancing publicity,improving the quality of population of childbearing age,strengthening management,providing high quality service for population of childbearing age,enhancing reproductive health education may reduce the incidence of infertility.