枣庄市3462例农村妇女妇科病普查结果分析

Zaozhuang City, the Result of 3462 Cases of Gynecological Diseases Census Analysis of Rural Women

目的了解农村妇女常见病、多发病的患病情况,做到早发现、早治疗,以期达到提高农村妇女的生殖健康水平;了解近3年来随着国家对公共卫生投入力度的加大,每年一次妇女病普查普治和健康教育对降低妇女发病率的影响。方法对2012—2014年永安乡3 462例已婚妇女进行妇科病普查普治,同时进行一次健康宣教,按照山东省重大公共卫生项目的要求,对她们同时进行一次宫颈癌、乳腺癌的免费筛查,把检查人群按年龄分成低年龄组（25～45岁）、高年龄组（46～65岁）两组,分析普查结果。结果随着国家对公共卫生投入力度的加大,妇幼保健工作备受关注,广大农村妇女的防病意识也较往年有所提高,普查率逐年上升,生殖道感染率有逐年下降的趋势,但妇女病患病率依然较高。三年患病率依次为82.2%、77.6%、63.5%。3 462例中查出宫颈癌1例,发病年龄为52岁,发病率占0.028%;宫颈癌前病变2例,发病年龄为38岁和46岁,发病率为0.058%;乳腺癌1例,发病年龄为48岁,发病率为0.058%。结论应严格按照山东省农村公共卫生要求,每年对农村妇女进行一次妇科疾病的普查普治工作,认真开展＂两癌＂免费筛查,做到早发现、早治疗各类妇科疾病,同时开展多种渠道的健康教育,是提高妇女健康水平的重要措施。

Objective To understand the common disease, frequently-occurring disease prevalence, rural women do early discovery, early treatment, in order to improve the level of rural women＇s reproductive health; Understanding in recent 3 years as the country to increase investment in public health, once a year, gynecological diseases census addition and the effect of health educa-tion to reduce the incidence of women. Methods The 2012-2014 of department of gynaecology of yongan township, 3462 cases of married women in census in addition, a health education at the same time, according to the requirements of the major public health projects in shandong province, for they also conduct a free screening for cervical cancer, breast cancer, the inspection groups according to age（25～45 years of age） in low age groups, the high age group（46～65 years） in the two groups, the analysis of the census results. Results As countries to increase investment in public health, maternal and child health care work, much attention has been paid to the prevention and management of rural women＇s awareness than in previous years, census rate is rising year by year, genital tract infection rate has a downward trend year by year, but still higher prevalence of gynecological diseases. Three years the prevalence of 82.2%,77.6%,63.5%. Found in 3462 cases of cervical cancer in 1 case, onset age of 52, incidence of a disease accounted for 0.028%; Cervical lesions in 2 cases, before the onset age of 38 and 46, the incidence is 0.058%; The age of48, 1 case, breast cancer incidence was 0.058%. Conclusion Should strictly in accordance with the requirements for shandong province rural public health, rural women for every year of gynecological diseases census work in addition, seriously carry out ／ ＂two cancer／＂ free screening, early detection, early treatment of various kinds of gynecological diseases, health education, at the same time to carry out a variety of sources is one of the important measures to improve the level of the women＇s health.