新疆生产建设兵团城市和农场妇女保健和儿童计划免疫现状分析

Analysis of women health care and children's planned immunization

目的：了解兵团已婚育龄妇女的保健情况及儿童计划免疫情况。方法：利用兵团第二次卫生服务入户调查的数据。对兵团城市和农场15-49岁已婚妇女保健情况和5岁以下儿童计划免疫情况进行比较。结果：本次调查中15～49岁已婚妇女2919人，一年内妇科检查率53．4％。城市为64．4％，农场为49．3％。城市和农场妇科检查率比较X^2=55．296，P=0．000，差异有统计学意义。产妇产前检查率为96．0％。城市为98.5％，农场为95．0％，城市和农场产前检查率比较，X^2=3．034．P=0．082。差异无统计学意义。产妇住院分娩率为93．6％，城市为98．5％。农场为92．2％，经统计学检验X^2=6．588。P=0．01。城市和农场产妇住院分娩率差异有统计学意义。产妇产后访视率为35．9％。城市为46．9％，农场为32．6％。城市和农场产妇产后访视率比较，X^2=8．970，P=0．003。差异有统计学意义。调查5岁以下儿童566人，计划免疫建卡率为96．6％。五苗的接种率均达到98．0％以上。结论：兵团妇女和儿童的健康保健情况较好，但城市和农场在孕产妇保健水平存在一定差距，需要继续加强兵团农场的孕产妇保健工作。

Objective： The paper reflected 15 - 49 year old married women＇s health care situation and children＇s planned immunization program in Xinjiang production and construction corps. Methods： Using second health service in Xinjiang production and construction corps, to compare women＇s health care and children＇s planned immunization in between the city and fann. Results： In this investigation 2919 women whom had married were interviewed, the rate of gynecological examination was 53.4% ,that in urban areas was 64.4% and that in farm was 49.3 %, in comparison, X^2 = 55. 296, P = 0. 000, the difference between in city and farm was statistically remarkable. The rate of antenatal examination in corps was 96.0%, that in urban areas was 98.5 % and in farm was 95.0%, X^2 = 3.034, P = 0.082, there was no significant between in city and farm. The rate of puerperas＇ delivery under hospitalization was 93.6%, urban puerperas＇ s delivery in hospital was 98. 5 %, rural one＇s was 92.2%, X^2 = 6.588, P = 0. 01, urban puerperas＇ s delivery in hospital took a high percentage. Postpartum visit rates was 35.9%, and the urban areas was 46.9%, the farm was 32.6%,Tbe rate has statistics significance between the urban areas and the farm（X^2 = 8.970, P = 0.003） And inquired below for 5 years child 566 persons, the rate of children possessing immunization record card was 96.6 %, the rate of 5 kind of vaccines had above 98.0%. Conclusion：The women＇s health care is good in xinjiang production and construction corps, but there was certain disparity in urban areas and farm areas. It is necessary to continue to strengthen work in farm.