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目的分析全子宫切除术对女性患者性生活质量和性功能的影响。方法 2005年6月—2013年6月抽取100例本院收治的全子宫切除术患者作为研究组。另选同期健康女性100例作为对照组。对全子宫切除术患者进行1~3年的跟踪访问,所有调查对象发放中国女性性生活质量问卷、国际女性性功能评估量表以及女性性功能指数问卷,评价两组女性的性生活质量和性功能。计量资料采用t检验,P<0.05为差异有统计学意义。结果对照组性生活质量调查表的性满意度、性疼痛与情绪、性态度、性体像、总分分别为(39.8±5.9)、(31.6±4.3)、(16.8±3.6)、(13.2±2.7)、(137.6±20.3)分,均显著高于研究组的(37.3±5.9)、(29.1±3.9)、(14.5±3.4)、(10.1±2.3)、(126.4±18.4)分,差异均有统计学意义(均P<0.05)。对照组国际女性性功能评估量表的性高潮、性欲、性异常、射精时间、性心理、性唤起、总分分别为(161.6±18.3)、(169.8±20.4)、(169.4±22.4)、(168.9±23.4)、(169.1±20.3)、(158.8±18.6)、(987.6±40.3)分,均显著高于研究组的(149.1±13.9)、(147.3±15.9)、(153.4±18.3)、(151.8±17.3)、(148.2±18.1)、(145.5±13.4)、(926.4±38.4)分,差异均有统计学意义(均P<0.05)。对照组女性性功能评价中性欲、性交痛、阴道润滑度、性满意度、性唤起、总分分别为(5.8±1.6)、(8.1±1.3)、(16.9±3.4)、(11.5±2.1)、(12.8±3.9)、(67.6±14.3)分,均显著高于研究组的(5.1±1.5)、(7.5±1.1)、(15.4±3.3)、(10.7±1.8)、(67.6±14.3)、(59.4±11.4)分,差异均有统计学意义(均P<0.05)。结论全子宫切除术会影响到女性患者的性生活质量和性功能。
Objective To analyze the effect of total hysterectomy on sexual life quality and sexual function in female patients. Methods From June 2005 to June 2013, 100 cases of hysterectomy patients admitted to our hospital were selected as the study group. Another 100 healthy women in the same period as a control group. All patients were followed up for 1 to 3 years. All the subjects distributed Chinese Women’s Sexual Quality Questionnaire, International Female Sexual Function Evaluation Scale and Female Sexual Function Index Questionnaire to evaluate the quality of life and sex of the two groups of women Features. Measurement data using t test, P <0.05 for the difference was statistically significant. Results The sexual satisfaction, sexual pain and mood, sexual attitude, body image and total score of the control group were 39.8 ± 5.9, 31.6 ± 4.3, 16.8 ± 3.6, 13.2 ± 2.7, 137.6 ± 20.3, respectively, were significantly higher than that of the study group (37.3 ± 5.9), (29.1 ± 3.9), (14.5 ± 3.4), (10.1 ± 2.3) and (126.4 ± 18.4) There was statistical significance (all P <0.05). The scores of orgasm, libido, sexual abnormality, time of ejaculation, sexual psychology, sexual arousal, and total score of the international women’s sexual function evaluation scale in the control group were (161.6 ± 18.3), (169.8 ± 20.4) and (169.4 ± 22.4) 168.9 ± 23.4), (169.1 ± 20.3), (158.8 ± 18.6) and (987.6 ± 40.3) scores in the study group were significantly higher than those in the study group (149.1 ± 13.9, 147.3 ± 15.9, 153.4 ± 18.3, 151.8 ± 17.3), (148.2 ± 18.1), (145.5 ± 13.4) and (926.4 ± 38.4) points respectively. There were significant differences between the two groups (all P <0.05). Sexual desire, sexual intercourse pain, vaginal lubrication, sexual satisfaction, sexual arousal and total arousal were (5.8 ± 1.6), (8.1 ± 1.3), (16.9 ± 3.4) and (11.5 ± 2.1) , (12.8 ± 3.9) and (67.6 ± 14.3) points in the study group were significantly higher than those in the study group (5.1 ± 1.5), (7.5 ± 1.1), (15.4 ± 3.3), (10.7 ± 1.8) and (67.6 ± 14.3) , (59.4 ± 11.4) points, the differences were statistically significant (all P <0.05). Conclusion Hysterectomy can affect the quality of sexual life and sexual function of female patients.