南京市城区女性性功能障碍的调查

An investigation on female sexual dysfunction among urban Chinese women in Nanjing

目的：女性性功能障碍（FSD）是影响女性生活质量的常见疾病,有关中国女性FSD的报道少见。本研究探讨南京城区女性FSD的发病情况,为制定中国女性FSD的防治策略提供依据。方法：本研究为回顾性调查,调查对象为2008年8月至2009年3月在南京医科大学附属南京市妇幼保健院进行健康体检的20岁以上女性及其女性陪护人。采用女性性功能指数（FSFI）问卷评估性功能,以FSFI评分总分〈25分作为FSD的诊断标准。以各单项评分的中位数作为诊断各类型性功能障碍的标准。结果：共发放问卷1 002份,收回有效问卷609份,有效问卷回收率60.8%。本组女性FSFI得分（24.21±4.40）分,随着年龄增长,FSFI评分及各单项评分逐渐下降。本调查各年龄组总的FSD发生率为56.8%,随年龄增长,FSD发生率逐渐增加,〈29岁组为47.1%,30~39岁组为57.0%,40~49组为75.0%,50岁以上高达90.3%。最常见的性功能障碍类型为性满意度下降（43.2%）,其次为性高潮障碍（41.7%）、性交疼痛（40.2%）、性欲低下（35.1%）、阴道润滑障碍（31.4%）及性唤起困难（29.6%）。结论：FSD是困扰中国城市女性的常见问题,最常见的类型为性满意度下降及性高潮障碍。

Objective： Female sexual dysfunction（FSD） is a common problem affecting women＇s quality of life.However,reports are rarely seen on sexual problems in Chinese women.This study is to investigate the prevalence of FSD among urban Chinese women in Nanjing and offer some evidence for the establishment of preventative measures for FSD in China.Methods： A cross-sectional hospital-based survey was conducted in Nanjing,China between August 2008 and March 2009.The sexual function of 609 women aged 20-56 years from the urban area of Nanjing were investigated using the Female Sexual Function Index（FSFI）.The total FSFI score of 25 was used as the diagnostic criterion for FSD.Results： The total FSFI score was 24.21 ± 4.40 in this group of women,and it decreased with the increase of age.The overall prevalence of FSD was 56.8%,and it increased with the increase of age,47.1%,57.0 %,75.0 % and 90.3% in the 29 yr,30-39 yr,40-49 yr and ≥ 50 yr groups,respectively.The most common problems were low sexual satisfaction（43.2%） and orgasm disorder（41.7%）,followed by sexual pain（40.2%）,hyposexuality（35.1%）,vaginal dryness（31.4%） and sexual arousal disorder（29.6%）.Conclusion： FSD is a common problem among urban Chinese women in Nanjing,and the most common sexual problems are low sexual satisfaction and orgasm disorder.