广西来宾市城区已婚育龄妇女生殖道感染的干预研究

Intervention studies on prevalence of reproductive tract infection in urban married women of childbearing age in Laibin city of Guangxi Province

目的了解来宾市城区已婚育龄期妇女生殖道感染(RTI)现状及实施干预措施的效果。方法选择2006年接受健康体检的已婚育龄期妇女,采取整群随机抽样方法,在供电、糖厂、教育部门育龄女职工中随机抽取539人为研究组,予连续两年采取干预措施;在邮电、纸厂、政府部门的育龄女职工中随机抽取527人为对照组,予连续观察2年,未采取干预措施。结果研究组与对照组比较,RTI率分别为18.08%、36.35%(P<0.001);宫颈糜烂患病率分别为7.72%、16.73%(P<0.001);细菌性阴道病患病率分别为2.26%、6.73%(P<0.001);念珠菌性阴道炎患病率分别为3.01%、5.77%(P<0.05)。结论RTI干预措施可以降低已婚育龄妇女RTI率,尤其是宫颈糜烂及细菌性阴道病效果显著。

Objective To study the prevalence of reproductive tract infection （RTI） and the efficacy of intervention management on urban married women of childbearing age. Methods A random cluster sampling was used to collect married women ot childbearing age who received physical examination in 2006. 539 participants in study group were sampled from women working in electric power supply bureau, sugar refinery, and local educational administrative department, women in study group received intervention administration for two years continuously. 527 participants in control group working in post - office, paper mill, and government department, received a follow - up of two years without intervention treatment. Results To compare study group to control group, RTI rate in study group was lower than that in control group （ 18.08 % vs. 36.35 % ） ; there was statistically significant difference （ P 〈 0. 001） ; the prevalence of erosion of cervix was 7.72 % in study group, and 16.73 % in control group （ P 〈 0. 001）, respectively; the prevalence of bacterial vaginopathy was 3.01% in study group and 5.77 % in control group （ P 〈0.05）, respectively Conclusion Intervention measures for RTI can decrease RTI rate among married women of childbearing age, especially effective for erosion of cervix and bacterial vaginopathy.