新疆564例维吾尔族女性不孕症相关因素分析

Analysis on related factors of infertility among 564 cases of Uygur female

目的探讨新疆维吾尔族女性不孕症的病因,为临床的有效治疗提供科学依据。方法对就诊于新疆佳音医院妇产科并进行系统检查的564例维吾尔族女性不孕症患者的临床病因进行回顾性分析。结果 564例维吾尔族女性不孕症患者中,原发性不孕185例(32.80%),继发性不孕379例(67.20%);输卵管不通在各种因素中占比最大(37.23%),其次为生殖系统感染(25.18%);生殖系统发育异常引起原发性不孕高于继发性不孕(p=0.007),输卵管不通、异位妊娠引起的继发性不孕高于原发性不孕(p输=0.011、p异=0.005);育龄妇女缺乏性和生殖健康知识的了解是原发性不孕的主要危险因素,继发不孕除年龄外,人工流产和药物流产史是其重要危险因素之一。结论加强对乡村未生育妇女的生殖健康教育,以降低因人工和药物终止妊娠以及生殖系统感染所引起的不孕症发病率。

Objective To investigate the factors and reasons for female infertility in the Uygnr population, and to provide clinical experience for the effective treatment of infertility. Methods 564 cases of female infertility in Uygnr were reviewed and analyzed. Results There were 185 cases of primary infertility accounting for 32.80%, 379 cases of secondary infertility accounting for 67.20% in 564 case of female infertility. Uterine tube impotency was the main factors in female infertility （accounted for 37.23%）, the second factors was genital system infection （25.18%）. Genital system dysplasia in primary infertility was significantly higher than that in secondary infertility （p=0. 007）, the uterine tube impotency and ectopic pregnancy in secondary infertility was higher than in primary infertility （p=0.011 and p=0. 005）. Lack of sexual and reproductive health knowledge and information was the main risk factors for primary infertility in women. Age and artificial abortion were the main risk factors for secondary infertility. Conclusion Strengthen education of reproductive health of women can achieve the goal of decreasing morbidity for female infertility in the Uygnr population.