湖北孝感地区育龄期女性下生殖道感染现状调查及危险因素分析

Investigation of lower genital tract infection of women in childbearing age in Xiaogan region of Hubei and analysis of risk factors

目的:调查湖北孝感地区育龄期女性下生殖道感染现状,分析相关危险因素,为临床预防和控制下生殖道感染提供参考。方法:采用多阶段分层随机抽样法,选取湖北孝感地区365名育龄期女性为调查对象,均由专业医务人员进行生殖道健康检查,并采用自制育龄期女性下生殖道健康调查问卷进行调查。统计下生殖道感染发生例数,采用统计学软件SPSS18. 0对可能导致感染的因素进行单因素和多因素分析,并根据分析结果制定合理预防措施。结果:本次调查对象365名育龄期女性,发生下生殖道感染124例,感染发生率为34. 0%。单因素分析结果显示:有无人工流产史、性伴数、平均月工资、经期有无性交、月经情况、更换内裤时间、有无坐浴、经期有无使用不洁卫生用品等因素,感染构成比差异具有统计学意义(P <0. 05);多因素分析结果显示:影响感染发生的因素按照危险程度依次为:经期使用不洁卫生用品(OR=7. 164)、经期有性交(OR=6. 181)、平均月工资<3000元(OR=6. 124)、有人工流产史(OR=5. 893)、月经不规律(OR=5. 246)、更换内裤时间为4~6天(OR=4. 824)、性伴数≥2个(OR=3. 852)、坐浴(OR=2. 984)。结论:导致湖北孝感地区育龄期女性下生殖道感染的因素较多,经期使用不洁卫生用品、经期性交、平均月工资<3000元等均是导致感染的危险因素,临床中应当根据具体情况制定科学的预防措施。

Objective： To investigate lower genital tract infection of women in childbearing age in Xiaogan Region of Hubei,and to analyze related risk factors in order to provide reference for clinical prevention and control of lower genital tract infection. Methods： 365 women in childbearing age in Xiaogan Region of Hubei were selected as the study objects according to multistage stratified random sampling method. Reproductive health examination was implented by the professional medical staff,and reproductive health questionnaire was used to investigate for women in childbearing age. The number of lower genital tract infection was figured,and factors that may cause infection were analyzed by univariate and multivariate analysis method according to statistical software SPSS18. 0. Reasonable preventive measures were made according to the analysis results. Results： 365 women in childbearing age of this study,124 cases were found of lower genital tract infection,with the rate of 34. 0%. Univariate analysis showed there were statistically significant differences in constituent ratios of infection,such as whether history of abortion ornot,the number of sexual partners,average monthly wage,whether sexual intercourse in menstruation or not,menstruation,time to change underwear,bath or not,the use of unclean sanitary products and other factors of infection（ P〈0. 05）. Multivariate analysis showed the factors affecting infection were as follows,menstrual use of unclean sanitary products（ OR = 7. 164）,sexual intercourse during menstruation（ OR = 6. 181）,average monthly wage of$ 3000（ OR = 6. 124）,history of induced abortion（ OR = 5. 893）,irregular menstruation（ OR = 5. 246）,time to change underwear 4 ~ 6 days（ OR = 4. 824）,the number of sex partners more than or equal to 2（ OR = 3. 852）,and bath（ OR = 2. 984） according to the degree of risk in turns. Conclusions： There are many factors leading to reproductive tract infection of women in childbearing age in Xiaogan Region of Hubei. The risk factors for infection are menstrual use of unclean health supplies,sexual intercourse in menstruation,the average monthly wage of 3000 yuan etc,Clinical should develop scientific preventive measures according to specific circumstances.