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目的对兰州市某单位833名妇女宫颈疾病普查结果进行分析,探讨妇女宫颈疾病患病情况及相关因素。方法选择2011年4月—2012年3月兰州市某单位833名进行宫颈疾病普查的妇女为调查对象,由经过统一培训的医务人员询问病史,进行腹部B超检查,根据患者症状、体征和宫颈疾病诊断标准确诊。结果宫颈疾病患病率59.78%,患病率最高的是宫颈肥大,为23.17%。40~49岁患病率最高,为66.52%,不同年龄组妇女宫颈疾病患病率差异均有统计学意义(均P<0.05)。不同文化水平妇女宫颈疾病患病率比较差异均无统计学意义(均P>0.05)。常住人口患病率59.15%,流动人口患病率63.28%,比较差异无统计学意义(P>0.05)。结扎避孕的妇女宫颈疾病患病率最高,为77.14%,不同避孕方式妇女宫颈疾病患病率比较差异均有统计学意义(均P<0.05)。结论宫颈疾病严重威胁妇女的身心健康,应重视妇科疾病普查,对高危妇女进行干预,对于宫颈疾病做到早发现、早诊断、早治疗,提高妇女的生活质量。
Objective To analyze the results of census of cervical diseases in 833 women in a unit of Lanzhou City and discuss the prevalence of cervical diseases and related factors in women. Methods From April 2011 to March 2012, a total of 833 women who underwent cervical screening in a unit of Lanzhou city were enrolled in the study. Medical staffs who had undergone uniform training were asked about their medical history and abdominal ultrasonography. According to their symptoms, signs and cervix Diagnostic criteria of the disease is confirmed. Results The prevalence of cervical disease was 59.78%, the highest prevalence was cervical hypertrophy, 23.17%. The highest prevalence was 40-49 years old, 66.52%. The prevalence rates of cervical diseases in different age groups were statistically significant (all P <0.05). There was no significant difference in the prevalence of cervical diseases between women of different cultural levels (all P> 0.05). The prevalence of resident population was 59.15%, and the prevalence of floating population was 63.28%, with no significant difference (P> 0.05). The prevalence of cervical diseases in women who had ligation of contraception was the highest (77.14%). There was significant difference in the prevalence of cervical diseases between different contraceptive methods (all P <0.05). Conclusion Cervical diseases seriously threaten the physical and mental health of women. Women should pay more attention to the screening of gynecological diseases and intervene in high-risk women. Early detection, early diagnosis and early treatment of cervical diseases should be carried out to improve women’s quality of life.