132例继发性不孕患者病因分析

Etiological Analysis of 132 Patients with Secondary Infertility

目的分析继发性不孕患者病因并探讨有效的临床预防措施。方法选择2010年2月-2011年10月在本院诊治的继发性不孕患者132例作为观察组,并选择同期来医院就诊的非不孕患者130例作为对照组,分析经期卫生、人工流产史、内分泌失调、卵巢功能障碍以及性传播疾病是否为继发性不孕发生的危险因素。结果观察组患者有人工流产史、内分泌失调、卵巢功能障碍以及性传播疾病的患者比例分别为44.7%、27.3%、31.1%、21.2%,均明显高于对照组的10.8%、14.6%、15.4%、11.5%,组间差异均有统计学意义(P<0.05),以上各项为继发性不孕发生的危险因素。结论临床医务工作者应了解继发性不孕发生的危险因素,针对病因采取相应的预防措施,降低该疾病的发病率。

Objective To analyze the etiology of secondary infertility and to explore the effective clinical preventive measures.Methods One hundred and thirty-two patients with secondary infertility hospitalized in Maternal and Child Health Hospital of Qingyuan County from February 2010 to October 2011 were selected as the observation group,and 130 patients without infertility problems were simultaneously served as the control group.The menstrual hygiene,abortion history,endocrine disorders,ovarian dysfunction and sexually transmitted diseases were analyzed whether or not to be the risk factors for secondary infertility.Results The proportions of patients with the history of induced abortion,endocrine disorders,ovarian dysfunction and sexually transmitted diseases in the observation group were 44.7%,27.3%,31.1% and 21.2% respectively,which were significantly higher than those（10.8%,14.6%,15.4%,and 11.5%） of the control group.There were statistically significant differences between the two groups（P0.05）.The above four items were the risk factors for secondary infertility.Conclusions Clinical health-care workers should know about the risk factors of secondary infertility and take appropriate preventive measures targeted to the causes so as to reduce the incidence of the disease.