绍兴地区女性人工流产生殖道感染患病率及其影响因素分析

Analysis on the prevalence rate and influencing factors of female abortion-induced genital tract infection in Shaoxing area

目的分析绍兴地区女性人工流产生殖道感染患病率及其影响因素。方法选取2017年10月~2019年10月在我院收治的200例人工流产患者,根据有无生殖道感染分为感染组99例和未感染组101例。收集所有女性年龄、文化程度、职业、婚姻状况、联系方式等一般资料。采用问诊的方式收集所有女性初次性交年龄、性伴侣个数、流产次数、是否避孕、个人卫生情况、生殖道感染病史、流产后首次性生活时间等情况。所有女性均进行妇科检查和实验室检查计算感染率。采用Logistic回归分析人工流产后生殖道感染患病率影响因素。结果人工流产女性生殖道感染患病率为49.50%(99/200),其中以宫颈炎、念珠菌性阴道炎、附件炎最为多见。单因素分析结果显示,初次性交年龄、性伴侣个数、是否避孕、个人卫生情况、生殖道感染病史、流产后首次性生活时间等因素差异具有统计学意义(P<0.05),年龄、文化程度、职业、婚姻状况、流产次数等因素差异无统计学意义(P>0.05)。Logistic回归分析结果显示,初次性交年龄、性伴侣个数、是否避孕、个人卫生、生殖道感染疾病史、流产后首次性生活时间均为人工流产后生殖道感染的独立危险因素(P<0.05)。结论人工流产后生殖道感染的发病率较高,针对影响人工流产后生殖道感染发生的因素,通过健康宣教教育工作减少生殖道感染的发生,从而更好地关爱女性健康。

Objective To analyze the prevalence rate and influencing factors of female abortion-induced genital tract infections in Shaoxing area.Methods 200 cases of abortion patients who were admitted to our hospital from October 2017 to October 2019 were selected.According to the presence or absence of reproductive tract infection,the patients were divided into 99 cases in the infection group and 101 cases in the non-infection group.All general data about women’s age,education,occupation,marital status,and contact information were collected.The age of first sexual intercourse,the number of sexual partners,the number of miscarriages,taking contraception or not,personal hygiene,the history of reproductive tract infections,the time of first sexual life after miscarriage were collected by inquiry.All women were given gynecological examination and laboratory examination to calculate the infection rate.Logistic regression was used to analyze the influencing factors for the prevalence rate of reproductive tract infections after abortion.Results The prevalence rate of reproductive tract infections in abortion women was 49.50%(99/200),among which cervicitis,candidal vaginitis,and appendicitis were the most common.According to the results of univariate analysis,there were statistically significant differences in factors such as age at first sexual intercourse,number of sexual partners,taking contraception or not,personal hygiene,history of reproductive tract infection,time of first sexual life after miscarriage(P<0.05).There were no statistically significant differences in factors such as age,education,occupation,marital status,and number of miscarriages(P>0.05).According to the Logistic regression analysis,the age of first sexual intercourse,the number of sexual partners,taking contraception or not,personal hygiene,history of reproductive tract infections,and the time of first sexual life after abortion were all independent risk factors for reproductive tract infections after abortion(P<0.05).Conclusion The prevalence rate of reproductive tract infections after abortion is high.In view of the influencing factors for the occurrence of reproductive tract infections after abortion,the occurrence of reproductive tract infections can be reduced through health education and education work,so as to better care for women's health.