在常规妇科实践中使用女性性功能指数（FSFI）的意大利语译本。

Use of the Italian translation of the Female Sexual Function Index (FSFI) in routine gynecological practice.

作者信息

Nappi Rossella E, Albani Francesca, Vaccaro Patrizia, Gardella Barbara, Salonia Andrea, Chiovato Luca, Spinillo Arsenio, Polatti Franco

机构信息

Research Center for Reproductive Medicine, Department of Morphological, Eidological and Clinical Sciences, University of Pavia, Pavia, Italy.

出版信息

Gynecol Endocrinol. 2008 Apr;24(4):214-9. doi: 10.1080/09513590801925596.

DOI:10.1080/09513590801925596

PMID:18382908

Abstract

AIMS

To investigate domains of sexual function in healthy women attending a gynecological office for routine annual check-up using the Italian translation of the Female Sexual Function Index (FSFI) according to age, reproductive status and hormonal treatments; and to confirm the usefulness of the FSFI in detecting relevant clinical entities.

METHODS

Of 720 women (age range 18-65 years), 564 (78%) filled in a short anamnestic questionnaire and the FSFI assessing desire, arousal, lubrication, orgasm, satisfaction and pain. A semi-structured DSM-IV-TR clinical interview was administered to a convenience sample of women selected according to the quartile distribution of the median full scale FSFI score. Analysis of data was performed by frequency tables and non-parametric statistics.

RESULTS

The median full scale score of FSFI in our study population was 27.6 (lower quartile: 18.7, upper quartile: 30.9) and the percentage of women under the lower quartile of the distribution was 24.4%. Sexual function decreased progressively with age, being significantly lower after 30 years and after 60 years (chi(2) = 52.6; p = 0.0001). Menopausal women had significantly lower median FSFI full scale score compared with fertile women and women who used oral contraception (OC) (p < 0.0001 for both), while users of hormone replacement therapy (HRT) displayed better overall sexual function than untreated postmenopausal women (p < 0.005). A positive diagnosis of female sexual dysfunction (FSD) was evident only in young women scoring under the lower quartile of the distribution (cut-off score: 23.4 for women not taking OC and 20.8 for OC users), while older women were dysfunctional also above the lower quartile of the distribution (cut-off score: 14.1 for menopause, 18.5 for HRT) of the FSFI full scale score.

CONCLUSIONS

The FSFI is a powerful screening tool for FSD, especially in young fertile women, and may be used effectively in routine gynecological practice.

摘要

目的

使用女性性功能指数（FSFI）的意大利语译本，根据年龄、生殖状态和激素治疗情况，调查前往妇科门诊进行常规年度检查的健康女性的性功能领域；并确认FSFI在检测相关临床情况方面的有用性。

方法

在720名年龄在18至65岁之间的女性中，564名（78%）填写了一份简短的问诊问卷以及评估性欲、性唤起、润滑、性高潮、满意度和疼痛的FSFI。对根据FSFI全量表中位数得分的四分位数分布选取的女性便利样本进行了半结构化的DSM-IV-TR临床访谈。通过频率表和非参数统计进行数据分析。

结果

我们研究人群中FSFI的全量表中位数得分为27.6（下四分位数：18.7，上四分位数：30.9），分布在下四分位数以下的女性比例为24.4%。性功能随年龄逐渐下降，30岁后和60岁后显著降低（χ² = 52.6；p = 0.0001）。绝经后女性的FSFI全量表中位数得分显著低于有生育能力的女性和使用口服避孕药（OC）的女性（两者p均<0.0001），而激素替代疗法（HRT）使用者的总体性功能比未治疗的绝经后女性更好（p < 0.005）。仅在得分低于分布下四分位数的年轻女性中明显存在女性性功能障碍（FSD）的阳性诊断（未服用OC女性的截断分数：23.4，OC使用者为20.8），而年龄较大的女性在FSFI全量表得分分布的下四分位数以上也存在功能障碍（绝经的截断分数：14.1，HRT为18.5）。