农村已婚育龄妇女生殖道感染普查状况分析(1)
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[作者简介] 徐立芬(1964-),女,广东恩平人,主治医师。
[摘要] 目的:了解恩平市农村已婚育龄妇女生殖健康状况及患病率,为开展生殖健康优质服务提供依据。方法:对2009年2月~2010年12月进行妇科病普查的7 860例农村已婚妇女情况进行分析。结果:妇科疾病的总患病率为67.20%(乳腺疾病不在此次普查之内),患病率从高到低依次为宫颈疾病(36.45%)、阴道疾病(20.85%)、盆腔炎症(7.07%)、妇科肿瘤(包括卵巢肿瘤、子宫肌瘤)(2.33%)、外阴疾病(0.50%),不同年龄组妇女患病率不同。结论:农村已婚育龄妇女妇科疾病患病率高,生殖健康知识贫乏,应加强对农村妇女生殖健康知识的宣传教育,提供高质量的计划生育服务,加强其自我保健意识。通过定期妇科疾病普查,做到疾病的早期发现、早期诊断、早期治疗,从而提高妇女生殖健康水平和生活质量。
[关键词] 农村;已婚育龄妇女;妇科生殖道普查;患病率
[中图分类号] R711[文献标识码] C [文章编号]1673-7210(2011)08(a)-133-02
Survey on gynecological diseases of married women of child-bearing age in rural areas
XU Lifen, LI Jianhua, WU Xiaomei, WU Yunzhen, WU Bofan, HUANG Xiaolan
Department of Family Planning Service Station of Enping City in Guangdong Province, Enping529400, China
[Abstract] Objective: To understand the reproductive health condition and prevalence rate of married women of child-bearing age in Enping city, in order to carry out high quality reproductive health services. Methods: From February 2009 to December 2010,the data of 7 860 cases of married women who were given general survey of gynecopathy were analyzed. Results: The total prevalence rate of gynecological diseases was 67.20% (except breast disease), the prevalence rate from high to low were cervical diseases (36.45%), vaginitis diseases (20.85%), pelvic inflammatory diseases (7.07%), gynecology neoplasms (including epithelial tumor and myoma of uterus) (2.33%), vulvar diseases (0.50%). There was different prevalence rate in different age. Conclusion: In rural areas the prevalence rate of gyneoopathy is high, reproductive health knowledge is poor. We should strengthen propaganda and education on reproductive health knowledge, provide high quality family planning services and promote their sense of self-care. Though general survey of gynecopathy, early detection, early diagnosis, early treatment should be done to improve women's reproductive health and life quality.
[Key words] Rural areas; Married women of child-bearing age; Gynecological diseases; Prevalence
生殖健康状况影响妇女的身心健康和生活质量,对和谐社会、和谐家庭起着十分重要的作用。为了更好地开展计划生育健康优质服务,了解恩平市农村已婚妇女生殖健康状况,由恩平市人口和计划生育局组织,在各乡镇计划生育队配合下,恩平市计划生育服务站于2009年2月~2010年12月,对7 860例已婚妇女进行了妇科病查治,并对其生殖健康状况进行了分析,现报道如下:
1 资料与方法
1.1 一般资料
2009年2月~2010年12月,恩平市计生服务站组织医务人员到各乡镇免费进行已婚妇女(除孕期、经期、产褥期)妇科病普查7 860例。年龄20~59岁。
1.2 方法
由医务人员询问病史,填写妇科病普查记录表,全部资料由专人审核后保管,每10岁为1个年龄组,共分4组。检查项目包括:妇科双合诊、白带常规检查、盆腔B超、选择性宫颈刮片(宫颈刮片现场处理后送广州市金域医学检验中心检测)及阴道镜检查。疾病类型包括:外阴疾病、阴道疾病、宫颈疾病、盆腔炎症、妇科肿瘤(包括卵巢肿瘤、子宫肌瘤)。
1.3 诊断标准
以第6版《妇产科学》[1]为依据 ......
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