中山地区健康妇女性功能障碍筛查结果分析

Analysis on screening results of sexual dysfunction among healthy women in Zhongshan

目的：开展中山地区健康妇女性功能障碍（female sexual dyssfunction,FSD）筛查模式,通过对筛查结果的分析,了解中山市FSD患病情况,建立FSD防治机制。方法：以中山市人民医院为诊治中心联合各市区、镇区医院相应的防治中心及筛查中心形成中山市盆底功能障碍筛查三级防治网络设施,采用统一的筛查流程、方法、诊断标准,选取2011年1月~2012年12月在中山地区13家医院自愿参与盆底功能筛查的妇女4 544例为研究对象,采用《女性性功能评价表（BISF-W）》调查表。根据检查结果做出FSD诊断,通过信息平台,将各中心的各项资料上传至中山市盆底功能障碍防治网数据库,由诊治中心进行数据统计分析。结果：参与健康体检筛查人群平均年龄（30.16±12.54）岁,FSD总人数25人,总检出率达0.6%。结论：相关性因素分析显示,盆底肌肉综合肌力异常是FSD发病的危险因素。

Objective： To conduct female sexual dysfunction（ FSD） screening model among healthy women in Zhongshan,understand the prevalence of FSD in Zhongshan,establish prevention and treatment system of FSD. Methods： Three- level prevention and treatment network of FSD was established based on Zhongshan People＇s Hospital,prevention and treatment centers and screening centers at city and town level. A total of 4544 women participating in FSD screening voluntarily were selected as study objects from 13 hospital in Zhongshan from January 2011 to December 2012 by the same screening process,method and diagnostic criteria; BISF- W investigation scale was used in the study. FSD was diagnosed according to examination results,the data from the hospitals was uploaded to Zhongshan FSD prevention and treatment database via information platform,then the data was analyzed statistically in the center of diagnosis and treatment. Results： The average age of 4544 women was（ 30. 16 ± 12. 54） years old,25 women were diagnosed as FSD,the total detection rate was 0. 6%. Conclusion： Correlation analysis shows that abnormal muscle strength of pelvic floor is one of risk factors of FSD.