摘要
目的:调查高龄备孕妇女生殖健康状况并分析影响因素。方法:选取2020年5月-2021年4月在西安市妇幼保健机构行孕前咨询的1178例≥35岁备孕妇女作为研究对象,通过孕前咨询、妇科体检、阴道超声检查、实验室检查等了解生殖健康状况,并发放一般资料调查问卷,分析生殖健康影响因素。结果:检出681例(57.8%)存在生殖系统相关疾病,其中34例(2.9%)同时存在两种疾病。宫颈疾病检出率最高(23.8%),子宫疾病和外阴阴道疾病检出率次之(14.5%和13.8%),附件疾病和盆腔炎性疾病检出率相对较低(5.0%和3.7%)。不同户籍性质、家庭年收入、体质指数、产次、不良孕产史、其他疾病史、不良生活习惯高龄备孕妇女生殖系统疾病检出率未见差异(P>0.05),不同年龄、文化程度、人工流产次数、妇科疾病史、既往避孕方式高龄备孕妇女的生殖系统疾病检出率有差异(P<0.05)。多因素分析显示,年龄、文化程度、人工次数、妇科疾病史均是影响高龄备孕妇女生殖健康的主要因素,高学历为保护性因素,年龄增加、人工流产史、妇科疾病史是危险性因素(P<0.05)。结论:高龄备孕妇女生殖健康状况不容乐观,应针对影响生殖健康主要因素开展咨询和宣传工作,以提高妇女生殖健康水平,减少不良妊娠发生。
Objective:To investigate the reproductive health status of elderly women who tried to conceive,and to analyze the influencing factors of their reproductive health status.Methods:A total of 1178 elderly pregnant women who tried to conceive and accepted preconception counseling were selected as the research objects.Their reproductive health status was investigated through preconception counseling,gynecological physical examination,vaginal ultrasound examination,and laboratory examination.The questionnaire was issued to collected general information of these women.The influencing factors of reproductive health of these women were analyzed.Results:There were 681(57.8%)cases with reproductive system related diseases,of which,there were 34(2.9%)women with two kinds of reproductive system related diseases at the same time.Among the reproductive system diseases,the detection rate of cervical diseases(23.8%)was the highest,then followed by that(14.5%or 13.8%)of disease of uterus or vulvovaginal diseases,and which of accessory diseases or pelvic inflammatory diseases(5.01%or 3.65%)was relatively low.There was no significant difference in the detection rate of reproductive system diseases among the women with different registered residence,among the women with family income,among the women with BMI values,among the women with parity,among the women with adverse pregnancy history,among the women with other disease history,or among the women with different adverse living habits(P>0.05).There was significant difference in the detection rate of reproductive system diseases among the women with different ages,the women with educational levels,the women with number of abortion,the women with history of gynecological diseases,or the women with different past contraceptive methods(P<0.05).Multivariate analysis showed that age,education level,number of abortion,and history of gynecological diseases were the main factors affecting the reproductive health of elderly women who tried to conceive,and among them,higher education level was
作者
淡甜
文汉丽
李桃艳
武水芸
张婵
DAN Tian;WEN Hanli;LI Taoyan;WU Shuiyun;ZHANG Chan(Xijing Hospital of Air Force Military Medical University, Xi'an, Shaanxi Province, 710032)
出处
《中国计划生育学杂志》
2022年第1期16-19,共4页
Chinese Journal of Family Planning
关键词
高龄备孕女性
生殖健康
孕前检查
影响因素
Elderly women who tried to conceive
Reproductive health
Pre pregnancy examination
Influence factor
