卵巢早衰女性性生活狀況調查及健康教育對策研究

付天芳 王瑞

【摘要】目的：探討卵巢早衰女性性生活狀況，觀察健康教育對其影響性，以期提高臨床診治水平。方法：選取2012年2月至2015年2月116例卵巢早衰患者為研究對象，觀察發病前后性生活功能和性生活質量，后按住院號單雙分成兩組，均為58例，對照組僅對癥治療，觀察組則予健康教育，觀察治療后性生活等指標變化情況。結果：性生活BISF-W評分指標性欲、性喚起、性生活頻率、性感受、性高潮、性伴侶滿意度和性功能等方面，以減少為主，均在50%以上，增加不明顯，多數在10%以下；卵巢早衰后在性滿意度、性交流與調適、疼痛和情緒、性反應、性態度、性體像上均較卵巢早衰前下降，前后比較差異有統計學意義（P<0.05）；兩組治療后LH、FSH較治療前明顯下降，E2、PROG上較治療前升高明顯，治療前后比較差異有統計學意義（P<0.05），觀察組治療后PROG、FSH、E2、LH較對照組治療后更加顯著（P<0.05）。結論：卵巢早衰女性性生活明顯下降，而健康教育則能提高性激素水平，提高性功能。

【關鍵詞】卵巢早衰；性生活；健康教育

Sexual life investigation of female with premature ovarian failure and health education countermeasuresFU Tianfang， WANG Rui. Department of Obstetrics， Weinan Maternal and Children Health Care Hospital， Weinan 714000， Shaanxi， China

【Abstract】Objectives： To investigate the sexual life of women with premature ovarian failure， and observe its impact on sexual health education in order to improve the level of clinical diagnosis and treatment. Methods： 116 women with premature ovarian failure from February 2012 to February 2015 were selected and divided into two groups. The function and quality of sexual life before and after the onset was observed， and according to admission number were divided into two groups， both of 58 cases. The control group only received symptomatic treatment， while the observation group received health education. Changes and other indicators of sexual life were observed. Results： The majority of BISF-W scores of indexes such as sexual desire， arousal， frequency of sexual activity， sexual feelings， sexual orgasm， sexual partner satisfaction and sexual function decreases， accounting for over 50%， with less obvious increase （below 10%）. The scores of sexual satisfaction， sexual communication and adjustment， pain and emotional， sexual response， sexual attitudes and sexual body image after premature ovarian failure decreased than before， with statistically significant difference （P<0.05 ）. After treatment， LH and FSH decreased significantly compared with that before treatment， while E2 and PROG increased significantly， with statistically significant difference （P<0.05）. Changes in PROG， FSH， E2， LH in observation group were more significant than the control group （P<0.05）. Conclusions： The quality of sexual life of female patients with premature ovarian failure significantly decreases， while health education is able to raise hormone levels and improve their sexual function.

【Key words】Premature ovarian failure； Sexual life； Health education

【中圖分類號】R711.75【文獻標志碼】A

卵巢早衰的發病率在近些年逐年升高，其對女性性功能有直接影響，表現為性欲下降、性能力下降、性器官萎縮和第二性征減退、性心理障礙，生殖功能減退甚至消失。無論是對有生育要求還是無生育要求的患者來說，在不同程度上均會影響性生活。研究已經證實，不和諧性生活不僅會影響夫妻感情，也會造成婚姻變化，給家庭和社會帶來不利影響。本次研究就通過對卵巢早衰女性性生活狀況調查，并總結健康教育對性生活的影響性，以期提高性和諧。

1資料與方法

1.1臨床資料

按照住院號單雙選取2012年2月至2015年2月116例卵巢早衰患者為研究對象，觀察其性生活狀況后分成兩組，均為58例，對照組平均年齡為（32.8±4.6）歲；……