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目的:了解我市原发不孕妇女生殖道感染现状,为进一步开展计划生育优质服务提供依据。方法:采用问卷调查与查体相结合的方法。结果:3903例原发不孕妇女中,生殖道感染2057例,感染率为52.70%,宫颈炎发病率最高,占33.05%,其余依次为附件炎,占27.39%;宫颈炎合并附件炎,占11.22%;盆腔炎,占9.71%。按年龄≤25岁、26~30岁、31~35岁、36~40岁分组比较生殖道感染率,25岁以下发病率最高,明显高于其他年龄组(P<0.05);按不孕年限1~3年、4~6年、7~9年分组比较生殖道感染率,以不孕1~3年患病率最高,各组间比较差异有统计学意义(P<0.05)。结论:我市原发不孕妇女生殖道感染率较高,趋于年轻化,应从青春期开始加强卫生保健教育,加强妇科病的普查普治和生殖健康咨询,针对患者不孕不育的特点开展生殖健康服务项目。
Objective: To understand the status quo of reproductive tract infection in primary infertile women in our city and provide basis for further carrying out quality service in family planning. Methods: A questionnaire survey combined with physical examination methods. Results: Of the 3903 primary infertile women, 2057 had genital tract infection with the infection rate of 52.70%. The incidence rate of cervicitis was the highest, accounting for 33.05% and the rest were accessory inflammation, accounting for 27.39%. Cervicitis with annexitis accounted for 11.22%; pelvic inflammatory disease, accounting for 9.71%. According to the age less than 25 years old, 26-30 years old, 31-35 years old and 36-40 years old group, the incidence of genital tract infection was the highest, which was significantly higher than that of other age groups (P <0.05) The incidence of genital tract infection was compared between 1 ~ 3 years, 4 ~ 6 years and 7 ~ 9 years. The prevalence of infertility was the highest in 1 ~ 3 years, with significant difference between the groups (P <0.05). Conclusion: The prevalence of genital tract infection in our primary infertile women is relatively high and tends to be younger. Health education should be strengthened from adolescence to strengthen general survey of gynecological diseases and reproductive health consultation, and carry out the characteristics of infertility patients Reproductive health services.