重度子痫患者分娩后性功能变化的临床调查分析(1)
【摘要】目的：探讨重度子痫患者分娩后性功能变化情况，以期提高对该疾病认识水平。 方法：回顾性分析2012年7月至2015年7月112例重度子痫分娩患者，观察性功能变化情况，并通过问卷调查观察其中性功能下降患者进行相关影响因素分析。结果：分娩后性欲望平均为(157.8±32.5)分，性唤起为(135.7±16.3)分，性高潮为(141.2±38.5)分，性心理为(134.6±25.6)分，性行为异常症状为(122.4±38.2)分。FSH为(12.58±1.32)IU/L，LH为(11.34±1.32)IU/L，E2为(0.12±0.04)nmol/L；重度子痫患者分娩后性功能单危险因素有婚龄、夫妻感情、健康状况、婚姻状况(P<0.05)；而和年龄、职业、分娩方式无关(P>0.05)；经非条件Logistic回归分析，婚龄、夫妻感情、健康状况、婚姻状况是重度子痫患者分娩后性功能独立危险因素(P<0.05)。结论：重度子痫患者分娩后性功能以下降为主，而婚龄、夫妻感情、健康状况、婚姻状况是性功能障碍危险因素。
【关键词】重度子痫；分娩；性功能；临床调查
Clinical investigation of sexual function changes after childbirth in patients with severe preeclampsiaLIU Junying， LIU Qiongna△， GAO Yue. Departmentof Obstetrics and Gynecology， Huai’an Second People’s Hospital， Huai’an 223001， Jiangsu， China
【Abstract】Objectives： To investigate the sexual function changes after childbirth of patients with severe preeclampsia， in order to raise the awareness of the disease. Methods： 112 patients with severe preeclampsia from July 2008 to July 2015 were selected to observe the changes in sexual function after childbirth， and through questionnaires relevant influencing factors were investigated. Results： After childbirth， average scores of sexual desire was (157.8 ± 32.5) points， sexual arousal was (135.7 ± 16.3) points， orgasm was (141.2 ± 38.5) points， sex psychology was (134.6 ± 25.6) points and abnormal sexual symptoms was (122.4 ± 38.2) points. FSH was (12.58 ± 1.32) IU / L； LH was (11.34 ± 1.32) IU / L； E2 was (0.12 ± 0.04) nmol / L. For patients with severe eclampsia， single risk factors affecting their sexual function after childbirth included marriageable age， marital relations， health and marital status (P<0.05)， while age， occupation and mode of delivery was unrelated (P> 0.05). According to non-conditional logistic regression analysis， the age of marriage， marital relations， health status， marital status were all independent risk factors (P<0.05). Conclusions： The sexual function of patients with severe preeclampsia declines after childbirth， and the age of marriage， marital relations， health status and marital status are all risk factors of sexual dysfunction.
【Key words】Severe preeclampsia； Childbirth； Sexual function； Clinical investigation
【中图分类号】R717【文献标志码】A重度子痫是孕期妇女常见的危急重症，是妊娠期高血压病常见并发症。研究[1]称，分娩后重度子痫患者在很多方面会出现变化，如情绪异常、性功能变化等，目前主要关注是该疾病处理，而对其中影响因素研究较少，本次研究就通过观察重度子痫患者分娩后性功能变化情况，总结其影响因素，以期提高临床防范措施。
1资料与方法
1.1临床资料
1.1.1病例来源选取2012年7月至2015年7月112例重度子痫患者为研究对象，年龄最小21岁，最大38岁，平均年龄(28.4±3.2)岁；平均病程(7.1±5.1)周；孕次0～5次，平均(1.7±0.5)次；产0～4次，平均(1.5±1.1)次。孕周平均为(32.8±2.4)周。 (刘俊影 刘琼娜 高悦)
【关键词】重度子痫；分娩；性功能；临床调查
Clinical investigation of sexual function changes after childbirth in patients with severe preeclampsiaLIU Junying， LIU Qiongna△， GAO Yue. Departmentof Obstetrics and Gynecology， Huai’an Second People’s Hospital， Huai’an 223001， Jiangsu， China
【Abstract】Objectives： To investigate the sexual function changes after childbirth of patients with severe preeclampsia， in order to raise the awareness of the disease. Methods： 112 patients with severe preeclampsia from July 2008 to July 2015 were selected to observe the changes in sexual function after childbirth， and through questionnaires relevant influencing factors were investigated. Results： After childbirth， average scores of sexual desire was (157.8 ± 32.5) points， sexual arousal was (135.7 ± 16.3) points， orgasm was (141.2 ± 38.5) points， sex psychology was (134.6 ± 25.6) points and abnormal sexual symptoms was (122.4 ± 38.2) points. FSH was (12.58 ± 1.32) IU / L； LH was (11.34 ± 1.32) IU / L； E2 was (0.12 ± 0.04) nmol / L. For patients with severe eclampsia， single risk factors affecting their sexual function after childbirth included marriageable age， marital relations， health and marital status (P<0.05)， while age， occupation and mode of delivery was unrelated (P> 0.05). According to non-conditional logistic regression analysis， the age of marriage， marital relations， health status， marital status were all independent risk factors (P<0.05). Conclusions： The sexual function of patients with severe preeclampsia declines after childbirth， and the age of marriage， marital relations， health status and marital status are all risk factors of sexual dysfunction.
【Key words】Severe preeclampsia； Childbirth； Sexual function； Clinical investigation
【中图分类号】R717【文献标志码】A重度子痫是孕期妇女常见的危急重症，是妊娠期高血压病常见并发症。研究[1]称，分娩后重度子痫患者在很多方面会出现变化，如情绪异常、性功能变化等，目前主要关注是该疾病处理，而对其中影响因素研究较少，本次研究就通过观察重度子痫患者分娩后性功能变化情况，总结其影响因素，以期提高临床防范措施。
1资料与方法
1.1临床资料
1.1.1病例来源选取2012年7月至2015年7月112例重度子痫患者为研究对象，年龄最小21岁，最大38岁，平均年龄(28.4±3.2)岁；平均病程(7.1±5.1)周；孕次0～5次，平均(1.7±0.5)次；产0～4次，平均(1.5±1.1)次。孕周平均为(32.8±2.4)周。 (刘俊影 刘琼娜 高悦)