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目的了解南宁市成年女性的性健康、性功能障碍(female sexual dysfunction,FSD)状况及其主要影响因素,为女性性健康的宣教、政策的制订及FSD的防治提供参考。方法使用中文版女性性功能量表(Chinese version of Female Sexual Function Index,CV-FSFI)对2011年3月至2012年3月在广西壮族自治区妇幼保健院进行健康体检的南宁市661名健康中青年女性或女性陪伴者进行性功能状况的问卷调查,年龄20~43岁,平均年龄(27.61±6.23)岁,其中汉族383名,壮族267名,其他民族11名,以FSFI总评分<25分作为FSD的诊断标准,各单项评分小于该单项的均数作为诊断各类型性功能障碍的标准。结果本组女性的FSFI总评分为(24.29±3.56)分,FSD总体发生率为52.50%(347/661),各种性功能障碍的发生率高低依次为性满足感下降68.53%(453/661)、性高潮障碍47.05%(311/661)、性唤起障碍35.70%(236/661)、性交痛33.13%(219/661)、阴道润滑不足29.65%(196/661)、性欲望降低25.87%(171/661)。随着年龄增长,FSFI评分及各单项评分逐渐下降。教育程度越高、职业越好,性满足感越高。结论南宁市成年女性的性健康状况不容乐观,FSD总发生率高,并受年龄、职业、教育程度及婚姻状况等因素的影响。
Objective To understand the sexual health and sexual dysfunction (FSD) status of adult women in Nanning and its main influencing factors, and to provide reference for the publicity and policy formulation of female sexual health and the prevention and treatment of FSD. Methods A total of 661 healthy middle-aged and middle-aged people in Nanning City, a health check-up for MCH at Guangxi Zhuang Autonomous Region from March 2011 to March 2012, were conducted using the Chinese version of Female Sexual Function Index (CV-FSFI) Female or female companion to conduct a questionnaire survey of sexual functional status, aged 20-43 years, mean age (27.61 ± 6.23) years, of which 383 Han, 267 Zhuang and 11 other ethnic groups to FSFI total score <25 points as FSD diagnostic criteria, the individual score is less than the average of the individual as a diagnostic criteria for all types of sexual dysfunction. Results The overall score of FSFI in this group was (24.29 ± 3.56) points and the overall incidence of FSD was 52.50% (347/661). The incidence of sexual dysfunction was 68.53% (453/661) in descending order of sexual satisfaction , 47.05% (311/661) of orgasmic disorders, 35.70% (236/661) of sexual arousal disorders, 33.13% (219/661) of sexual intercourse pain, less than 29.65% (196/661) of vaginal lubrication, and 25.87% (171/661). With age, FSFI scores and individual scores decreased gradually. The higher the education level, the better the job, the higher the sexual satisfaction. Conclusion The sexual health status of adult women in Nanning is not optimistic. The overall incidence of FSD is high, and is affected by factors such as age, occupation, education and marital status.