吸烟、饮酒、锻炼对育龄女性性功能的影响

The influence of smoking, drinking and doing exercise on female sexual function of childbearing age

目的分析吸烟、饮酒、锻炼对育龄女性性功能的影响,以期为临床治疗和护理的人性化服务提供有益帮助。方法选取2014年10月~2015年10月在厦门市妇幼保健院就诊的800例育龄女性(25~35周岁)。其中,排除有精神病史、肝肾功能损害、心血管系统疾病、甲状腺功能亢进或减退、恶性肿瘤(共15例)及1个月内无性生活史(共21例)后,余764例纳入统计。采用匿名问卷调查方法。患者来院就诊前,由研究人员解释并填写问卷,患者在自愿前提下填写问卷,并严格为患者保密。填写时间为10 min左右,由研究人员统一计算得分。结果在入选的764例患者中,吸烟组患者(>3支/d)116例,无吸烟组患者308例,两组的年龄差异无统计学意义[(30.00±5.10)岁vs.(29.16±6.98)岁](P>0.05),其中吸烟组的性高潮、满意度得分,总分均低于无吸烟组,差异有统计学意义(P<0.05);两组患者的其余因子得分比较,差异无统计学意义(P>0.05)。饮酒组患者(>1瓶/d)94例,无饮酒组(<1瓶/周)248例,两组的年龄差异无统计学意义[(31.00±2.10)岁vs.(20.46±5.88)岁](P>0.05),其中,饮酒组的性高潮得分低于无饮酒组,差异有统计学意义(P<0.05);两组患者的其余因子得分比较,差异无统计学意义(P>0.05)。锻炼身体组(>1次/周)307例,无锻炼身体组(<1次/周)457例,两组的年龄差异无统计学意义[(30.82±6.40)岁vs.(31.27±7.93)岁](P>0.05),其中,锻炼身体组的性兴奋、性高潮得分,总分均高于无锻炼身体组,差异有统计学意义(P<0.05)。结论吸烟、饮酒、不经常锻炼是女性性功能障碍的危险因素;在对就诊女性进行治疗和护理的过程中,应该了解其生活方式,及性功能是否出现障碍,并采用适当的医疗和心理治疗方法改善其性功能,以提高其生活质量。

Objective To analyze the influence of smoking, drinking and doing exercise on female sexual function of childbearing age. Methods A total of 800 women with child-bearing age（25-35 years old） treated in Maternal and Child Health Hospital of Xiamen City from October 2014 to October 2015 were selected. Among them, eliminating those who had a history of mental illness, liver and kidney function damage, cardiovascular system diseases, hyperthyroidism or hypothyroidism and malignant tumors（15 cases） and having no sexual life in a month（21 cases）, the remaining 764 cases were included in the statistics. Anonymous questionnaire method was used. Before the patient came to the hospital, the researcher explained and filled out the questionnaire. Patient filled out the questionnaire on the premise of voluntary, and kept it strictly confidential for patients. Filled time was about 10 minutes, the score was calculated by the researchers. Results Among the 764 patients enrolled, there were 116 cases in smoking group（3 day）and 308 cases were non-smoking group, there was no significant difference in age between the two groups（[30.00 ±5.10] years old vs. [29.16±6.98] years old）（P〈0.05）. The orgasm, satisfaction score and total score of smoking group were lower than those of non-smoking group, and the differences were statistically significant（P〈0.05）. There was no significant difference in the scores of other factors between the two groups（P〈0.05）. There were 94 cases in drinking group（〉1 bottle/day） and 248 cases in non-drinking group（〈1 bottle/week）, there was no significant difference in age between the two groups（[31.00±2.10] years old vs. [20.46±5.88] years old）（P〈0.05）. The orgasm score of drinking group was lower than that of non-drinking group,and the difference was statistically significant（P〈0.05）. There was no significant difference in the scores of other factors between the two groups（P〈0.05）. There were 307 cases in doing exercise group（1 time/week） and 457 patients were in non-doing exercise group, there was no significant difference in age between the two groups（[30.82±6.40] years old vs. [31.27±7.93] years old）（P〈0.05）.The sexual excitement, orgasm score and total score of doing exercise group were higher than those of non-doing exercise, and the differences were statistically significant（P〈0.05）. Conclusion Smoking, drinking and not doing exercise regularly are risk factors for female sexual dysfunction. In the process of treatment and care for women seeking treatment, in order to improve the quality of life, their way of life and whether sexual function having an obstacle should be understood, and appropriate medical and psychological treatment are used to improve its sexual function.