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预防医学  2025, Vol. 37 Issue (12): 1287-1291    DOI: 10.19485/j.cnki.issn2096-5087.2025.12.020
  妇幼保健 本期目录 | 过刊浏览 | 高级检索 |
妊娠期女性性功能的影响因素分析
蔡元旦1, 杨若兰1, 刘英1, 宋志娇2, 王苓1,2
1.山西医科大学公共卫生学院,山西 太原 030001;
2.山西省儿童医院(山西省妇幼保健院),山西 太原 030013
Factors affecting sexual function among pregnant women
CAI Yuandan1, YANG Ruolan1, LIU Ying1, SONG Zhijiao2, WANG Ling1,2
1. School of Public Health, Shanxi Medical University, Taiyuan, Shanxi 030001, China;
2. Shanxi Children's Hospital (Shanxi Maternal and Child Health Hospital), Taiyuan, Shanxi 030013, China
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摘要 目的 了解妊娠期女性性功能状况及影响因素,为改善妊娠期女性性健康提供参考。方法 于2025年1—7月,采用方便抽样方法抽取在山西省儿童医院(山西省妇幼保健院)定期规律产检的妊娠期女性为调查对象,通过问卷调查收集社会人口学信息、妊娠相关情况和妊娠期性生活等资料;采用中文版女性性功能量表评估近4周内性功能状况,采用多重线性回归模型分析妊娠期女性性功能的影响因素。结果 调查妊娠期女性424人,年龄以30~<35岁为主,211人占49.76%。妊娠早期72人,占16.98%;妊娠中期200人,占47.17%;妊娠晚期152人,占35.85%。妊娠期女性性功能得分为(17.85±6.46)分,性欲、性唤起、阴道润滑、性高潮、性满意度和性交疼痛6个维度得分分别为(3.23±0.78)(2.21±1.20)(2.76±1.63)(2.95±1.68)(4.14±1.08)(2.56±1.96)分。多重线性回归分析结果显示,与伴侣同住(β' =0.124)、妊娠期(晚期,β' =-0.360)和性生活方式或体位改变(β' =0.164)与妊娠期女性性功能得分存在统计学关联(均P<0.05)。结论 妊娠期女性性功能下降,各维度得分均值均低于临界值。与伴侣同住、根据妊娠期适当调整性生活方式或体位可改善妊娠期女性性功能。
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蔡元旦
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王苓
关键词 妊娠期性功能影响因素    
AbstractObjective To investigate the current status of sexual function and its influencing factors among pregnant women, so as to provide the reference for improving sexual health among pregnant women. Methods From January to July 2025, pregnant women attending regular prenatal check-ups at Shanxi Children's Hospital (Shanxi Maternal and Child Health Hospital), were selected as study participants using a convenience sampling method. Information on sociodemographic, pregnancy-related conditions, and sexual activity during pregnancy was collected through questionnaire surveys. Sexual function status over the past four weeks was assessed using the Chinese version of the Female Sexual Function Index. A multiple linear regression model was employed to analyze the influencing factors for sexual function among pregnant women. Results A total of 424 pregnant women were surveyed, with the majority aged 30-<35 years (211 cases, 49.76%). Among them, 72 were in the first trimester (16.98%), 200 in the second trimester (47.17%), and 152 in the third trimester (35.85%). The overall sexual function score among pregnant women was (17.85±6.46) points. Scores for the six domains, desire, arousal, lubrication, orgasm, satisfaction, and pain were (3.23±0.78) (2.21±1.20) (2.76±1.63) (2.95±1.68) (4.14±1.08) (2.56±1.96) points, respectively. Multiple linear regression analysis revealed that cohabitation with a companion (β'=0.124), stage of pregnancy (third trimester, β'=-0.360), and changes in sexual practices or positions during pregnancy (β'=0.164) were statistically associated with sexual function scores among pregnant women (all P<0.05). Conclusions Sexual function declines among pregnant women, with mean scores across all domains falling below the critical threshold. Cohabitation with a companion and appropriate adjustments in sexual practices or positions according to the stage of pregnancy may improve sexual function among pregnant women.
Key wordspregnancy    sexual function    influencing factor
收稿日期: 2025-09-15      修回日期: 2025-11-26      出版日期: 2025-12-10
中图分类号:  R714.14  
基金资助:山西省卫生健康委员会科研项目(2024Rk01)
作者简介: 蔡元旦,硕士研究生在读,公共卫生专业
通信作者: 王苓,E-mail:etyywangling@163.com   
引用本文:   
蔡元旦, 杨若兰, 刘英, 宋志娇, 王苓. 妊娠期女性性功能的影响因素分析[J]. 预防医学, 2025, 37(12): 1287-1291.
CAI Yuandan, YANG Ruolan, LIU Ying, SONG Zhijiao, WANG Ling. Factors affecting sexual function among pregnant women. Preventive Medicine, 2025, 37(12): 1287-1291.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2025.12.020      或      http://www.zjyfyxzz.com/CN/Y2025/V37/I12/1287
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