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目的调查围绝经期妇女的生活和性生活状况。方法调查本地区45～60岁妇女200名,观察她们的绝经年龄、阴道萎缩情况、性生活状况以及对生活的满意度。结果67.3%的妇女于50～54岁绝经,45～60岁本地区的女性绝大多数对目前的生活状况感到满意,但对性生活不满意,主要以性交疼痛和夫妻感情欠融洽为主,85.2%的妇女在绝经后5年内停性生活,曾行子宫切除术的18人中有12人于术后即停性生活,仅有剖宫产史而无阴道分娩者阴道萎缩的发生率相对较高,经U检验两组差异有非常显著意义(P<0.01),与之相对应,已停性生活的概率也相应较高(P<0.01)。结论切除子宫严重影响性心理,需加强病情讲解和术前知情同意;绝经会使妇女丧失自信,产生不良情绪,需加强宣教;仅有剖宫产者比有阴道分娩者较易出现阴道萎缩,影响绝经期性生活;住院的阴道分娩并不会造成难以修复的生殖器损伤以至影响到产后性生活,应对社会进行这方面的宣教。
Objective To investigate the life and sexual life of perimenopausal women. Methods 200 women from 45 to 60 years old in the region were surveyed to observe their menopause age, vaginal atrophy, sexual life and their satisfaction with life. Results 67.3% of women in menopausal women aged 50-54 years old, most of 45 to 60 years old women in the region are satisfied with the current living conditions, but not satisfied with the sex life, mainly sexual intercourse pain and marital relationships, 85.2% of women stopped living within 5 years after menopause, 12 of the 18 people who had undergone hysterectomy stopped living after surgery, and only had a history of cesarean delivery without vaginal delivery There was a significant difference between the two groups by U test (P <0.01). Correspondingly, the probability of having stopped living was correspondingly higher (P <0.01). Conclusion The removal of uterine severely affected psychological needs to strengthen the disease to explain and preoperative informed consent; menopause will make women lose confidence, resulting in adverse emotions, the need to strengthen missionary; only cesarean delivery than vaginal delivery are more prone to vaginal atrophy, Affecting menopausal life; vaginal delivery in hospital does not cause irreparable genital injury and even affect the post-natal life, to deal with social mission in this regard.