女性性高潮障碍相关因素分析

Analysis on the related factors of female orgasmic dysfunction

目的:探讨女性性高潮障碍的相关危险因素,为女性性高潮障碍的防治提供依据。方法:采用回顾性调查方法,对2009年3月～12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进行问卷调查,应用女性性功能指数(FSFI)问卷评估性功能,性高潮评分<4.0分为性高潮障碍的诊断标准,采用多因素Logistic回归进行多因素分析。结果:共发放问卷2 658份,有1 856例女性完成问卷,问卷回收率69.8%。剔除性唤起障碍者602例,其余性唤起正常的855例中性高潮障碍者298例,占34.9%(298/855)。Logistic多因素分析表明,年龄(≥40岁)、难产、对居所不满意、绝经、性交疼痛、配偶性功能障碍等是女性性高潮障碍的独立危险因素(P<0.05)。结论:女性性高潮障碍的发生与年龄(≥40岁)、难产、对居所满意度、绝经、性交疼痛、配偶性功能障碍多种因素相关。

Objective： To explore the related risk factors of female orgasmic dysfunction, provide a basis for prevention and treatment of female orgasmic dysfunction. Methods ： A retrospective investigation method was used to survey the women more than 20 years who received physical examination in the hospital from March to December in 2009 and the women who accompanied them by a questionnaire, female sexual function index （FSFI） questionnaire was applied to assess their sexual function, orgasm score 〈 4. 0 was the diagnostic criterion of female orgasmic dysfunction, multivariate logistic regression analysis was used in the study. Results： A total of 2 658 women were surveyed, and 1 856 women Completed the questionnaire. The recall rate was 69.8%. Six hundred and two women with sexual arousal disorders were excluded, and 855 women were not found with sexual arousal disorders. Among 855 women without sexual arousal disorders, 298 women were found with female orgasmic dysfunction, accounting for 34. 9% （298/855） . The results of multivariate logistic regression analysis showed that age （ ≥140 years）, dystocia, being unsatisfied with residence, menopause, dyspareunia, and sexual dysfunction of partners were the independent risk factors of female orgasmic dysfunction （P 〈0. 05） . Conclusion： The occurrence of female orgasmic dysfunction is related to age （ ≥40 years）, dystocia, being unsatisfied with residence, menopause, dyspareunia, and sexual dysfunction of partners.