地域特性对妇科疾病影响多样本分析

A Multi- sample Analysis of the Influence of Regional Characteristics on Gynecological Disease

目的探讨地域特性对某些妇科疾病的影响,为能够进行有针对性开展妇科检查及科学干预提供依据。方法计算机检索万方数据库,纳入国内吉林、北京、湖南、江苏、湖北、陕西、广东七省市妇科体检数据,检索时间截止2014年8月,对研究结果进行定量分析,通过计算患病风险RR值及敏感性系数△R值,检验地域对不同妇科疾病的影响及敏感程度。由此判断地域对妇科疾病统计结果的影响。结果分析表明,慢性宫颈炎吉林、北京、湖北,31-40岁的患病风险RR值分别为0.99、1.01、0.98非常接近。子宫肌瘤,吉林、北京、湖南、江苏31-40岁发病风险RR值最高是吉林2.08,最低是湖南0.09;41-50岁发病风险RR值最高是江苏1.49,最低是湖南0.19;阴道炎吉林、北京、湖南三省市,31-40岁发病风险RR值最高是吉林2.17,最低是湖南0.35;41-50岁发病风险RR值最高是湖北1.72,最低是湖南0.35;在31-40岁年龄段,地域因素对慢性宫颈炎、子宫肌瘤、阴道炎平均灵敏度分别为：1.11、91.2、59.5;在41-50岁年龄段,分别为：6.66、29.5、53.5。结论地域因素对慢性宫颈炎几乎没有影响,对子宫肌瘤、阴道炎妇科病发病率影响比较大。女性应该根据自己本地区妇科疾病的发病特点,自觉改变自己的生活状态,饮食及卫生习惯,可以有效的减少妇科疾病发生。

Objective To discuss the influences of regional characteristics on certain gynecological diseases. Accordingly,certain gynecological examination could be conducted. Its research results will provide implications for scientific intervention. Method Computer retrieved the database of gynecological examination by August 2014 in Jilin,Beijing,Hunan,Jiangsu,Hubei,Shanxi and Guangdong provinces on WANFANG Database. A quantitative analysis was made by measuring its risk value RR and the sensitivity coefficient△R in order to test the regional effects on different gynecological diseases and sensitive degree of individuals. Hence the impact of regional characteristics on the statistical results of gynecological diseases can be suggested. Result The RRs of chronic cervicitis in women（ 31 - 40 years old） from Jilin,Beijing and Hubei provinces are 0. 99,1. 01,0. 98 respectively,which are very close; As for uterus myoma in the 31 - 40 years old women in Jilin,Beijing,Hunan,Jiangsu provinces,the highest RR of the disease is 2. 08 in Jilin,while the lowest is 0. 09 in Hunan. The highest risk of the disease in the 41 - 50 years old women is 1. 49 in Jiangsu province,while the lowest is 0. 19 in Hunan province. For Vaginitis in Jilin,Beijing and Hunan provinces,the highest RR of the disease in the31 - 40 years old women is 2. 17 in Jilin province,while the lowest is 0. 35 in Hunan province. The highest RR in the 41 - 50 years old women is 1. 72 in Hubei province,while the lowest is 0. 35 in Hunan province; In the age of 31- 40,regional factors＇ influences on the average sensitivity of chronic cervicitis,uterine fibroids,Vaginitis are 1. 11,91. 2,59. 5. While at the age of 41 - 50,they are6. 66,29. 5,53. 5 respectively. Conclusion Regional features have little effect on Chronic cervicitis. However,they have great impact on morbidity of uterine fibroids and vaginitis. Suggested by the results,women should change their life styles,diets and hygienic habits spontaneously according to the characteristics of the gynecological disease in their own area to reduce the incidence of gynecological diseases effectively.