河北省农村地区不育症患病现况调查

目的:了解河北省农村育龄夫妇不育患病率及其原因,为不育防治和病因学研究提供信息。方法:根据世界卫生组织不育症定义,通过分层整群横断面抽样方法,选取河北省5个县计划妊娠的育龄夫妇进行调查研究。结果:共调查19588对计划妊娠的育龄夫妇,其中不育症夫妇2256对,患病率为11.5%;其中单纯女方因素占26.4%,原发不育中首位因素是排卵障碍,继发不育是输卵管因素;单纯男方因素占34.5%,无论是原发还是继发不育,首位因素均为精液异常。结论:河北省农村地区不育症患病率较高,改变农村育龄夫妇传统的生育观念,规范不育症的诊疗是解决农村不育夫妇生育问题的主要任务。

Prevalence of infertility in rural areas of Hebei Province

Objective: To explore the prevalence rate and causes of infertility in rural couples of childbearing age in Hebei Province in order to provide information for infertility etiology and prevention. Methods: According to the WHO definition of infertility, a stratified cross-sectional sampling method was used, and couples of childbearing age who were planning to become pregnant in 5 counties of Hebei Province were selected. Results: A total of 19 588 couples were recruited. There were 2256 infertile couple (11.5%). And the female factors accounted for 26.4%. Ovulation disorder was the most common factor for the female primary infertility, and tubal factor for the secondary infertility. The male factors accounted for 34.5%. The most common factor for either the primary infertility or the secondary one was semen abnormality. Conclusion: The prevalence rate of infertility is high in rural areas of Hebei Province. Therefore, the traditional childbearing concept of rural couples of childbearing age should be changed and the diagnosis and treatment for infertility should be standardized.