【摘要】 目的:调查蒙古族地区男性首次遗精年龄。方法:对内蒙古通辽地区7所高中学生采用横断面分层整群抽样方法进行回顾性问卷调查。结果:调查问卷回收率98.6%,有效问卷96.6%。调查的4260例青少年首次遗精年龄(14.3±1.3)岁,其中汉族(14.4±1.3)岁,蒙古族(14.2±1.3)岁;汉族城镇(14.1±1.2)岁、农村(14.6±1.4)岁,蒙古族城镇(14.1±1.3)岁,农村(14.3±1.4)岁。首次遗精发生在夏季占59.1%,发生在小学6年级、初中1、2、3年级分别占18.7%、28.2%、26.9%、13.0%。首次遗精为自然发生占90.0%,主动行为占10.0%(其中自己主动占8.3%,与他人一起占0.7%,性活动中占1.0%)。结论:首次遗精年龄蒙古族早于汉族、城镇早于农村。建议本地区男性青少年健康教育在小学5年级开始,6年级健康教育应包含有避孕节育方法等内容。本项调查首次报告了有10%的主动排精行为(替代遗精的通常认识为自然睡眠中发生)应给予社会关注和深入评估。更多还原

【Abstract】 Objective:To investigate the age of first spermatorrhea of male in Mongolian area.Methods:Retrospective questionnaire survey with cross-sectional stratified cluster sampling method was conduced in high school students from7 schools of Tongliao Area.Resluts:The questionnaire accounted for response rate was 98.6 %,and the effective responses rate was 96.6%.The mean age of first spermatorrhea was 14.3 ± 1.3 years old,which included 14.4 ± 1.3 years in Han and 14.2 ± 1.3 years in Mongolian.The mean age of first spermatorrhea were 14.1 ± 1.2 years in Han urban areas,14.6 ± 1.4 years in Han rural areas,14.1 ± 1.3 years old in Mongolian urban areas,and 14.3 ± 1.4 years old in Mongolian rural areas.59.1% of first spermatorrhea occurred in summer.The rates of the first spermatorrhea occurrence in the sixth grade primary school,1,2,3 grade of junior high school were 18.7%,28.2%,26.9%,and13.0%,respectively.The rate of spermatorrhea with natural occurrence accounted for 90.0%,and with active accounted for 10.0%(of which 8.3% with own active,0.7% together with other boys,1.0% with sexual activity).Conclusion:The age of the first spermatorrhea of Mongolian is earlier than that of Han,and the age of the first spermatorrhea of boys in urban is earlier than that of boys in rural.The reproductive health education for male adolescent in Mongolian area should be started from the fifth grade of primary school,and content of reproductive health education for male adolescent in sixth grade of primary school should include contraception.This survey reports that there is 10%of active sperm-ejection behaviors firstly(the common understanding for spermatorrhea is occurring during natural sleep),so it should be given more attention to and be assessed in-depth.更多还原