初产妇产后性功能障碍的流行病学和危险因素分析

Epidemiology and risk factors analysis of postpartum sexual dysfunction in primiparae

目的分析初产妇产后性功能障碍的流行病学及危险因素。方法选取2017年1月至2018年6月于文昌市庆龄妇幼保健院住院分娩的80例产后性功能障碍初产妇作为研究对象。将这80例初产妇设为观察组,选择同时期来院进行产后复查的80例健康初产妇设为对照组。对观察组产妇进行产后性功能障碍各项症状的统计及流行病学分析;统计并比较两组初产妇的年龄等基本资料,拟定本次研究的调查问卷,从受教育程度、分娩方式、产后喂养方式、产后精神状况、生活习惯、夫妻感情、家庭经济情况及产后性生活开始时间等多方面比较,对产后性功能障碍的影响因子进行单因素分析和Logistic多因素回归分析。结果观察组80例产后性功能障碍初产妇表现出不同程度的性功能障碍症状,其中性欲下降这一症状占比最高(45.00%),性唤起困难次之(41.25%);观察组年龄较高、受教育程度较低、顺产者较多、母乳喂养为主、产后焦虑/抑郁者较多、有不良生活习惯者较多、夫妻感情一般/较差者多、家庭经济状况一般/困难者多、产后较早发生性生活者较多,差异均具有统计学意义(均P<0.05);Logistic回归分析发现年龄较大、自然分娩、母乳喂养、文化水平较低、焦虑/抑郁、家庭经济状况较差、素有不良生活习惯、夫妻感情较差、产后较早发生性生活等均是引起初产妇产后性功能障碍的独立危险因素。结论初产妇易发生不同症状的产后性功能障碍,年龄、分娩及喂养方式、家庭关系及收入等均是产后性功能障碍的影响因素,需引起对女性产后性健康的重视。

Objective To analyze the epidemiology and risk factors of postpartum sexual dysfunction in primiparae.Methods 80 primiparae with postpartum sexual dysfunction who gave birth in Qingling Maternal and Child Health Hospital from January 2017 to June 2018 were selected as the observation group,and 80 healthy primiparae during the same period were selected as the control group.Statistical and epidemiological analysis of various symptoms of postpartum sexual dysfunction were carried out in the observation group.The age and other basic data of the two groups were counted and compared,and the questionnaire was prepared to conduct univariate analysis and Logistic multiple regression analysis of the influencing factors of postpartum sexual dysfunction from the aspects of education,delivery mode,postpartum feeding mode,postpartum mental status,living habits,marital affection,family economic status and postpartum sexual life initiation time.Results In the observation group,80 primiparae with postpartum sexual dysfunction showed different degrees of sexual dysfunction symptoms,among which decreased sexual desire accounted for the highest(45.00%),followed by difficulty in sexual arousal(41.25%).The observation group had higher age,lower education level,more vaginal births,more breast-feeding,more postpartum anxiety/depression and unhealthy living habits,more couples with average/poor feelings,more families with average economic status/more difficulties,and more early postpartum sex,all with statistically significant differences(all P<0.05).Logistic regression analysis found that older age,natural delivery,breast-feeding,low education level,anxiety/depression,poor family economic status,poor living habits,poor relationship between husband and wife,and early postpartum sex life were all independent risk factors for postpartum sexual dysfunction among primiparae.Conclusions Primiparae are apt to have the postpartum sexual dysfunction of different symptom.Age,delivery and feeding way,family relation and income all are the influencing factor of postpartum sexual dysfunction,and more attention should be paid to postpartum sexual health of the female.