全子宫切除术后期女性性生活现状的调查研究.doc

全子宫切除术后远期女性性生活现状的调查研究 苗娅莉，周 蓉 ，王建六 　　( 北京大学人民医院，北京 100044) 　　【摘要】 目的: 了解全子宫切除术后远期女性性生活现状。方法: 对因妇科良性疾病行全子宫切除术具有完整随访资料的 68 例患者进行随访调查，随访内容: 妇科检查、性生活质量问卷调查，包括中国女性性生活质量问卷和女性性功能指数( FSFI) 问卷。结果: 全子宫切除术后 7 年，48 例( 70. 6% ) 对目前性生活满意; 36 例( 52. 9% ) 能够与伴侣在性问题上进行有效的沟通交流;41 例( 60. 3% ) 存在不同程度的性交痛及对性生活厌恶、焦虑、恐惧、担忧等负性情绪; 45 例( 66. 2%) 性唤起满意，能够经常体验到性高潮; 42 例( 61. 8%) 对自慰有正确的认识; 38 例( 55. 9%) 对自己的形象满意。68 例患者中国女性性生活质量问卷总分平均 127. 45±20. 20 分，FSFI 问卷总分平均 60. 71±11. 33 分。中国女性性生活质量问卷总分、标准分总分、性满意度、性交流与调适、性反应以及性体像与患者收入呈正相关( r=0. 432，P=0. 007; r=0. 338，P=0. 038; r= 0. 356，P = 0. 028; r = 0. 475，P = 0. 003; r = 0. 421，P = 0. 009; r = 0. 324，P = 0. 047) 。FSFI 问卷总分、性欲、性唤起与患者年龄呈中度负相关( r = -0. 419，P = 0. 042; r = -0. 433，P = 0. 034; r = -0. 429，P = 0. 037) ; FSFI 问卷总分与婚龄呈中度负相关( r = -0. 416，P = 0. 048) 。结论: 全子宫切除术可能对患者远期性生活存在影响，患者性生活质量与年龄呈负相关，与收入呈正相关。 　　【关键词】 全子宫切除术; 女性性生活; 相关因素 　　【Abstract】 Objective: To explore the long-term status of female sexual life after total hysterectomy. Meth-ods: 68 patients with benign gynecological diseases underwent total hysterectomy were followed up. Thecontents included pelvic examination，quality of sexual life questionnaire( female sexual quality questionnaireand female sexual function index，FSFI) . Results: 7 years after total hysterectomy，48 patients ( 70. 6% )were satisfied with the current sex life; 36 patients ( 52. 9% ) could effectively communicate with partners onsexual issues; 41 patients ( 60. 3% ) were with different degrees of intercourse pain and disgust，anxiety，fear，worry and other negative emotions; 45 patients ( 66. 2% ) were satisfied with sexual arousal，and couldoften experience orgasm; 42 patients ( 61. 8% ) had a correct understanding of masturbation; 38 ( 55. 9% )patients were satisfied with their image. The average score of female sexual quality questionnaire in 68 caseswere 127. 45±20. 20，and the average score of FSFI were 60. 71 ±11. 33. Female sexual quality question-naire score，standard score，sexual satisfaction degree，sexual communicat