北流市已婚育龄夫妇不孕症调查分析

Investigation on Infertility Rate among Couples at Reproductive Age in Beiliu City

目的:了解北流市育龄妇女人群不孕的发病情况、病因及高危因素。方法:采用整群抽样方法,在北流市随机抽取44个行政村,以其中18-49岁的已婚育龄妇女为调查对象,对已婚育龄夫妇作不孕症筛查、不孕症危险因素调查、体检和妇科检查。结果:在发放的21 824份问卷中,共收到21 239份调查问卷,有效率为97.32%。不孕症患病率为1.28%,其中原发性不孕率为0.71%(115/21 239),继发性不孕率为0.57%(121/21 239);输卵管梗阻、精液异常是不孕的主要因素。结论:要加强对育龄夫妇的生殖健康教育,提倡适龄结婚生育,不宜过多吸烟、饮酒,在接触有毒有害物质时要采取防护措施,注意防治盆腔感染等。

Objective： To explore the prevalence rate of infertility and related risk factors in women at reproductive age. Methods： Forty-four villages from Beiliu city were randomly selected using cluster sampling method. All women aged 18-49 years old were investigated and examined. Results： A total of 21 239 questionnaires were obtained, the usable rate was 97.32%. The prevalence rate of infertility was 1.28%. The primary infertility rate was 0.71% （115/21 239） and the secondary infertility rate was 0.57% （121/21 239）. Obstruction of fallopian tube and abnormal sperm quality were the main reasons for infertility. Conclusion： Reproductive health education should be implemented to couples at reproductive age. Conception at appropriate age, no drinking and smoking, and taking protective measures to prevent from exposing to toxic and harmful substances should be advocated.