中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2013年
5期
666-668
,共3页
蒋桂芳%王丽%余牧%常莉
蔣桂芳%王麗%餘牧%常莉
장계방%왕려%여목%상리
宫颈疾病%宫颈癌%生殖道感染%危险因素
宮頸疾病%宮頸癌%生殖道感染%危險因素
궁경질병%궁경암%생식도감염%위험인소
cervical disease%cervical cancer%reproductive tract infections%risk factors
目的：分析榆林市农村妇女宫颈疾病普查结果，并探讨其危险因素，为提高农村妇女生殖健康提供依据。方法采用调查问卷方式记录患者一般资料，所有妇女均行妇科查体、宫颈脱落细胞检查，异常者行阴道镜和活检，并对结果进行分析。结果在3268例普查者中生殖道感染发病率为61．29％，宫颈糜烂发病率为52．82％，宫颈息肉发病率为10．04％，宫颈癌发病率为0．12％。35～45岁组宫颈糜烂和宫颈息肉发病率最高，分别为73．95％和14．87％（χ2值分别为608．50、93．62，均P ＜0．01）。文化程度低、经济收入低、多个性伴侣数、初次妊娠年龄（岁）小的妇女宫颈糜烂和宫颈息肉发病率相对较高（χ2值分别为8．58、6．04；255．11、56．56；44．18、197．51；714．20、46．72，均P ＜0．05）。结论应提高广大农村妇女自我保健意识，建立良好的性卫生习惯；提倡晚婚、晚育、少育。政府及卫生部门应重视普查；对早期宫颈病变，尤其是高危人群应定期随访，预防和发现早期宫颈癌。
目的：分析榆林市農村婦女宮頸疾病普查結果，併探討其危險因素，為提高農村婦女生殖健康提供依據。方法採用調查問捲方式記錄患者一般資料，所有婦女均行婦科查體、宮頸脫落細胞檢查，異常者行陰道鏡和活檢，併對結果進行分析。結果在3268例普查者中生殖道感染髮病率為61．29％，宮頸糜爛髮病率為52．82％，宮頸息肉髮病率為10．04％，宮頸癌髮病率為0．12％。35～45歲組宮頸糜爛和宮頸息肉髮病率最高，分彆為73．95％和14．87％（χ2值分彆為608．50、93．62，均P ＜0．01）。文化程度低、經濟收入低、多箇性伴侶數、初次妊娠年齡（歲）小的婦女宮頸糜爛和宮頸息肉髮病率相對較高（χ2值分彆為8．58、6．04；255．11、56．56；44．18、197．51；714．20、46．72，均P ＜0．05）。結論應提高廣大農村婦女自我保健意識，建立良好的性衛生習慣；提倡晚婚、晚育、少育。政府及衛生部門應重視普查；對早期宮頸病變，尤其是高危人群應定期隨訪，預防和髮現早期宮頸癌。
목적：분석유림시농촌부녀궁경질병보사결과，병탐토기위험인소，위제고농촌부녀생식건강제공의거。방법채용조사문권방식기록환자일반자료，소유부녀균행부과사체、궁경탈락세포검사，이상자행음도경화활검，병대결과진행분석。결과재3268례보사자중생식도감염발병솔위61．29％，궁경미란발병솔위52．82％，궁경식육발병솔위10．04％，궁경암발병솔위0．12％。35～45세조궁경미란화궁경식육발병솔최고，분별위73．95％화14．87％（χ2치분별위608．50、93．62，균P ＜0．01）。문화정도저、경제수입저、다개성반려수、초차임신년령（세）소적부녀궁경미란화궁경식육발병솔상대교고（χ2치분별위8．58、6．04；255．11、56．56；44．18、197．51；714．20、46．72，균P ＜0．05）。결론응제고엄대농촌부녀자아보건의식，건립량호적성위생습관；제창만혼、만육、소육。정부급위생부문응중시보사；대조기궁경병변，우기시고위인군응정기수방，예방화발현조기궁경암。
Objective To analyze the census results of cervical disease among women in rural area of Yulin city and to investigate its risk factors, so as to provide basis for improving rural women ’ s reproductive health .Methods The general data of census were noted with questionnaires .All women underwent gynecological examination and cervical exfoliated cell examination .Colposcopy and biopsy were performed for women with abnormal exanimation results .Results Of 3 268 recruited women , the prevalence rates of reproductive tract infection, cervical erosion, cervical polyp, and cervical cancer were 61.29%, 52.82%, 10.04%and 0.12%, respectively.The highest prevalence rates of cervical erosion and cervical polyp were in 35-45 years group, and they were 73.95% and 14.87%, respectively (χ2 value was 608.50 and 93.62, respectively, both P<0.01).Those who had low educational level , low economic income, several sexual partners and lower gestational age had higher incidence of cervical erosion and cervical polyp (χ2 value was 8.58, 6.04;255.11, 56.56;44.18, 197.51;and 714.20, 46.72, respectively, all P<0.05).Conclusion The rural women’s self health care consciousness should be improved, and good sexual habits should be established .Late marriage, late childbirth and fewer births are advocated .The government and health institutions should pay attention to census .Early cervical lesions , especially the high-risk groups should be followed up regularly in order to prevent and detect early cervical cancer .
