西藏左贡县医院妇科门诊疾病谱分析

Spectrum of disease at gynecology outpatient department in Zuogong county hospital

目的:通过分析西藏左贡县医院妇科门诊妇科疾病谱,探讨当地妇女妇科疾病的发病特点,为制定预防和治疗措施提供依据。方法:回顾性分析2010年7月至2010年9月期间左贡县医院妇科门诊就诊病例1183例。结果:妇科疾病发病率前5位顺次为:慢性宫颈炎(41.50%)、阴道炎(36.01%)、盆腔炎(14.62%)、子宫肌瘤(3.63%)、功能性子宫出血(2.87%)。同时患有2种以上炎症性疾病的占33.13%,妇科炎症性疾病总发病率92.13%,明显高于国内报道;子宫肌瘤及功能性子宫出血发病率均低于国内报道。结论:西藏左贡县受特殊地理环境及特殊民族风俗影响,女性性生活开始较早、分娩次数较多、卫生经济状况较差,妇科炎症性疾病发病率较高,特别是两种以上炎症同时发病较多。做好计划生育的宣教、降低人工流产率、减少分娩次数、加强流产后及产后妇女的保健、加大对于基层妇产科专业人员的帮扶等,对于降低妇科炎症性疾病发病率、提高当地妇女生殖健康水平很有必要。

Objectives： To discuss the characteristics of female diseases by means of analyzing the women diseases spectrum at gynecology outpatient department of Zuogong county hospital, so as to provide evidence for making precautionary and therapeutic measures. Methods： 1183 patients at gynecology department of Zuagong county hospital were retrospectively analyzed From July to September in 2010. Results： The top five female diseases with the highest morbidity were chronic cervicitis （41.5%）, vaginifis （36.01%）, pelvic infection （ 14.62% ） , myoma of uterus （3.63%） and dysfunctional uterus bleeding （2.87%）. About 33.13% objects suffered from two kinds of inflammatory gynecologic diseases. The total morbidity of female ivflammatory diseases was 92.13%, which was superior to that reported domestically, otherwise the morbidity of myoma of uterus and dysfunctional uterus bleeding were inferior to those reported domestically. Conclusion： Compared with inland women, feminine in Zuogong county of Tibet, due to a special geography surroundings and unique ethnic custom, have sex activity earli- er, labor more frequently, as well as worse hygiene habit and financial situation, which leads to higher morbidity of female inflammatory diseases, and especially the incidence of two kinds of diseases simultaneously is higher. It is very important to bring down the morbidity of female inflammatory disease and elevate the reproduction heath stand- ard of local females through promoting propaganda and instruction of birth control, decreasing the rate of artificial a- bortion, lessening the time of delivery, reinforcing the health protection after induced abortion and giving birth, strengthening the potency about training obstetrics professionals in primary hospitals.