社区815名已婚妇女生殖道疾病现状分析

Analysis of 815 Married Women' Reproductive Tract Diseases in Communities

目的调查分析社区已婚妇女生殖道疾病的现状及影响因素,为生殖道感染防治策略提供依据。方法对兰州市城关区社区卫生服务所健康体检的815名已婚妇女进行问卷调查,并对35周岁以上已婚妇女和慢性宫颈炎患者进行宫颈刮片筛查。所有有效问卷通过Epidata 3.0统一录入。用SPSS 16.0统计软件进行数据分析。结果宫颈肥大的检出率为31.85%。不同年龄的已婚妇女子宫、乳腺及阴道分泌物异常的检出率不同,不同职业的已婚妇女子宫异常的检出率不同,差异有统计学意义(P<0.05);不同文化程度的已婚妇女生殖道疾病检出率之间的差异无统计学意义(P>0.05)。结论已婚妇女生殖道感染较普遍,应针对感染的高发人群在社区开展各种形式的健康教育,提高已婚妇女的保健意识,促使其主动定期进行妇科检查,及早发现癌前病变,从而及早进行治疗和控制。

OBJECTIVE To investigate the status of married women＇s reproductive tract diseases in communities, find out its influential factors and provide scientific evidences for the control strategies. METHODS A number of 815 married women for health physical examination from April 2011 to April 2012 were investigated face to face on questions about reproductive tract diseases. Both the women of 35 years old and chronic cervicitis patients were made cervical scraping smear. Software SPSS 16.0 were used in data analysis. RESULTS The cervical hypertrophy rate was 31.85%. The detection rates of abnormal uterus, breast and vaginal were different between different age groups, and the detection rates of abnormal uterus were different between different vocational groups. The differences all had statistical significance（P〈0.05）. The differences of the detection rates of the genital tract disease in different educational degree of married women had no statistical significance（P〉0.05）. CONCLUSION Married women＇s reproductive tract infections were common, and the age was significantly effective. We should provide various of preventive education for high risk population to improve married women＇ health consciousness, take periodic gynecological examination actively, find out precancerous lesion timely, intervene and control it as soon as possible.