2008至2013年海淀区计划生育手术情况分析

Analysis of family planning surgery in Haidian District from 2008 to 2013

目的 了解近年来北京市海淀区计划生育手术数量及质量情况，监测相关数据的变化趋势，为计划生育管理工作提供依据。方法 对2008至2013年北京市海淀区68家计划生育医疗机构上报的《北京市计划生育手术数量与质量季报表》进行分析。结果 ①2008年10月1日至2013年9月30日上报的计划生育手术总例数，年下降幅度最高达10．26％；②海淀区各医疗机构计划生育手术中，以外地户籍占多数，构成比为61．77％～66．64％；③计划生育手术种类中，主要以人工流产占多数，构成比为60．28％～73．94％；其中，取环有逐年上升趋势（χ^2=374．375，P＜0．01，药物流产呈逐年下降的趋势（χ^2=1072．393，P＜0．01）；④药物流产中，本市户籍的流产不全和流产失败率呈上升趋势（χ^2分别为32．330、22．414，均P＜0．01）；无痛人流在本市户籍和外地户籍中均呈逐年上升的趋势（χ^2分别为407．983、281．004，均P＜0．01）。结论 ①应进一步加强对流动人口的避孕节育宣教及指导；②加强对无痛人流手术的正确认识和技术培训。

Objective To investigate the prevalence of breast disease and breast cancer among women in Yufazhen of Daxing Disrtict . Methods The census of breast diseases of women in Yufazhen between 2006 and 2013 was analyzed .Results The detecting rate of breast cancer was 27.15/100 000 between 2006 and 2013.Analysis showed no significance between prevalence of other benign diseases of breast and that of breast cancer during 2006 to 2013 （both P〉0.05）, but the difference between prevalence of breast hyperplasia and breast fibroadenoma was significant （χ^2value was 529.11 and 34.74, respectively, both P〈0.05）.The differences in total prevalence rate and the prevalence rate of breast hyperplasia among different age groups were significant （χ^2value was 567.20 and 527.14, respectively, both P〈0.05）.Conclusion Early detection, diagnosis and treatment are effective in improving prognosis and women ’s survival quality.