有性生活盆腔炎性疾病女性后遗症分析及对策研究

Sequelae analysis and research on female patients with pelvic inflammatory who had sexual life

目的:探讨有性生活盆腔炎性疾病女性后遗症影响因素,总结对策,以期为临床预防提供理论依据。方法:按照住院号单双选取2012年3月至2014年3月132例有性生活盆腔炎性疾病患者为研究对象,对其中出现后遗症患者进行影响因素分析,采用Logistic多元逐步回归分析,并总结危险因素。结果:在影响因素上,盆腔炎性疾病女性后遗症单危险因素有流产次数多(≥3次)、性生活频率高(≥3次/周)、抑郁、体力劳动、急性期、病程长(≥3个月)、文化程度低(高中以下),这些和同组其他因素比较有差异性(P<0.05),而和避孕方式、年龄、饮食习惯无关(P均>0.05);将7个单危险因素进行Logistic回归分析,结果显示多危险因素有流产次数(OR=21.157)、性生活情况(OR=14.684)、抑郁(OR=13.213)、文化程度(OR=15.241);而治疗后在下腹部坠痛,腰骶部酸痛、盆腔包块发生率和白细胞、C反应蛋白、IL1指标上明显下降,治疗前后比较差异有统计学意义(P<0.05)。结论:有性生活盆腔炎性疾病女性后遗症和性生活频率、流产次数等存在相关性,加强性生活指导和及时治疗有助于提高疗效。

Objectives： To investigate the affecting factors of sequelae on female patients with pelvic inflammatory who had sexual life so as to provide the theoretical basis for clinical prevention. Methods： 132 female patients with pelvic inflammatory who had sexual life were selected from March 2012 to March 2014 according to admission number of odd and even. Affecting factors analysis was done on patients who had sequelae. Logistic stepwise regression analysis was done to summarize risk factors. Results： On the influencing factors,single risk factors of female pelvic inflammatory disease sequelae were frequency of abortions（  3 times）,sexual frequency（  3times / week）,depression,physical labor,the acute phase,longer duration（  3 months）,low education level（ high school or less）. These factors had significant difference comparing with other factors（ P〈0. 05）,and had no significant differences comparing with contraception,age and dietary habit（ P〉0. 05）. Logistic regression analysis of the seven single risk factors showed that multiple risk factors were frequency of abortions（ OR = 21. 157）,sexual life（ OR = 14. 684）,depression（ OR = 13. 213） and educational level（ OR = 15. 241）; and after treatment the lower abdomen fall pain,lumbosacral pain,pelvic mass incidence and leukocytes,C- reactive protein,decreased IL1 indicators levels had statistically significant differences comparing with these before the treatment（ P〈0. 05）. Conclusion： The sequelae of female patients with pelvic inflammatory who had sexual life is correlative with sexual frequency and frequency of abortions. Strengthening sexual guidance and timely treatment can help improve the outcome.