CAJ | 학술논문

目的通过对北京市通州区女性乳腺疾病流行病学调查,了解该地区女性乳腺疾病的发病状况,并进一步研究引起女性乳腺疾病的危险因素,为制定乳腺疾病预防措施提供客观依据.方法采用整群分层随机抽样方法对北京市通州区1 575例18～ 60岁妇女进行流行病学问卷调查,并由专科医师对每位妇女进行乳腺检查,采用乳腺临床体检配合近红外线扫描、彩超和钼靶X线等辅助检查方法,筛查和诊断乳腺疾病,将调查结果分为乳腺正常组和疾病组进行病例对照分析,研究影响乳腺疾病的危险因素.结果 1 575例女性中患乳腺疾病的303例,发病率为19.2％,发病年龄集中在30 ～50岁.其中乳腺癌3例,乳腺增生270例,乳腺纤维瘤5例,其他乳腺良性肿瘤25例,经x2检验分析,确定乳腺疾病与文化程度的高低、绝经时间的长短、是否具有乳腺增生病史和负性情绪有关.结论女性乳腺疾病与患者年龄、文化程度、绝经时间有关,乳腺增生病史和负性情绪是导致乳腺疾病的危险因素,应大力宣传乳腺保健知识,提倡健康生活方式,减少乳腺疾病的发生.
목적 통과대북경시통주구녀성유선질병류행병학조사,료해해지구녀성유선질병적발병상황,병진일보연구인기녀성유선질병적위험인소,위제정유선질병예방조시제공객관의거.방법 채용정군분층수궤추양방법대북경시통주구1 575례18～ 60세부녀진행류행병학문권조사,병유전과의사대매위부녀진행유선검사,채용유선림상체검배합근홍외선소묘、채초화목파X선등보조검사방법,사사화진단유선질병,장조사결과분위유선정상조화질병조진행병례대조분석,연구영향유선질병적위험인소.결과 1 575례녀성중환유선질병적303례,발병솔위19.2％,발병년령집중재30 ～50세.기중유선암3례,유선증생270례,유선섬유류5례,기타유선량성종류25례,경x2검험분석,학정유선질병여문화정도적고저、절경시간적장단、시부구유유선증생병사화부성정서유관.결론 녀성유선질병여환자년령、문화정도、절경시간유관,유선증생병사화부성정서시도치유선질병적위험인소,응대력선전유선보건지식,제창건강생활방식,감소유선질병적발생.
Objective An epidemiological study was conducted to investigate the prevalence of female breast disease and risk factors in Tongzhou District of Beijing,providing objective data to prophylaxis of the disease in this area.Methods A questionnaire survey was done in 1 575 females aged 18-60 years in Tongzhou district of Beijing by a cluster random sampling method.Clinical breast examination,near- infrared scanning,colour ultrasound,X-ray and other adjunctive examinations were performed in these subjects for diagnosis of the disease.The subjects were divided into breast disease group and normal control group.And then a case-control study was conducted for risk factor analysis of female breast disease.Results Breast disease was found in 303 of 1 575 females,most in 30-50 years,the incidence being 19.2％.Breast hyperplasia was found in 270 females,breast fibroma in 5,other benign breast disease in 25,and breast cancer in 3,Breast disease was found related to education level,menopause time,history of breast hyperplasia and annoyance.Conclusions Female breast disease is related to age,education and menopause.History of breast hyperplasia and negative emotion are risk factora of the disease.Attention should be paid to breast health care and healthy life style,decreasing incidence of the disease.