产后不同时期性功能障碍影响因素分析

目的:调查产后不同时期女性性功能障碍的发生率及影响因素。方法:对334名在海淀妇幼保健院住院分娩产妇分别于产后3个月、产后6个月进行问卷调查,分析影响产后性功能障碍的因素。结果:收回有效调查问卷者315例,产后3个月FSD发生率86.7%,产后6个月FSD发生率64.1%,差异有统计学意义(P0.05)。产后3个月时,母乳喂养为主、丈夫较少参与家务、初产妇及产后抑郁是产后FSD发生的高危因素。产后6个月时,母乳喂养为主、丈夫较少参与家务、初产妇及产后抑郁均仍是产后FSD的高危因素,与产后3个月比较,新增加的高危因素为产妇未参加工作和会阴侧切分娩。结论:产后性功能障碍发生率高,与生理、心理各方面因素有关,对有产后性功能障碍高危因素的产妇应重视,并注意控制高危因素。

Influencing factors analysis of postpartum female sexual dysfunction in different periods

Objectives:To survey the incidence rate and influencing factors of postpartum female sexual dysfunction (FSD) in different periods.Methods:334 postpartum women in Haidian Maternal and Child Health Hospital were selected and investigated by an anonymous survey at 3 months and 6 months after childbirth.The influencing factors of postpartum FSD were analyzed.Resslts:315 valid questionnaires returned in all.The incidence rate of postpartum FSD within 3 months and 6 months after childbirth was 86.7％ and 64.1％ respectively,with statistically significant difference (P ＜0.05).Within 3 months after childbirth,breast feeding,husband seldom participation in housework,primipara and postpartum depression were the high risk factors of postpartum FSD.Within 6 months after childbirth,breast feeding,husband seldom participation in housework,primipara and postpartum depression were also the high risk factors of postpartum FSD,and increased high risk factors included women not going to work and episiotomy.Conclusion:The incidence rate of postpartum FSD is high,which is relevant to many physiological and psychological factors.More attention should be paid to postpartum women with high risk factors of postpartum FSD.