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目的了解妇科门诊生殖道感染状况及影响因素,为制定有效的预防和控制措施提供依据。方法收集2010年1月-2012年12月妇科门诊就诊主诉阴道分泌物异常的女性患者1 174例,采用统一的方法进行问卷调查、临床检查和实验室检查;应用单因素χ2检验和多因素条件logistic回归对生殖道感染的影响因素进行分析。结果 1 174例患者中生殖道感染397例,感染率为33.82%,其中慢性宫颈炎多见,感染率15.93%,其他主要有细菌性阴道炎7.07%,假丝酵母菌性阴道炎3.58%,滴虫性阴道炎2.21%,衣原体属感染1.45%等,经χ2检验,妇女生殖道感染与年龄、文化程度、职业、生育史、流产史、避孕方式、月收入等因素有相关性;多因素条件logistic回归分析妇女生殖道感染的危险因素主要有年龄(P=0.042,OR=2.316)、经济收入(P=0.017,OR=3.097)、文化程度(P=0.007,OR=2.687)、避孕方式(P=0.031,OR=2.735)和流产史(P=0.011,OR=2.716)。结论育龄妇女生殖道感染率较高,其发生与多种因素相关,应开展有针对性的健康教育和妇科普查,采取综合干预措施控制生殖道感染的发生。
Objective To understand the status and influencing factors of genital tract infection in gynecology clinic and provide evidence for effective prevention and control measures. Methods A total of 1 174 female patients with complaints of vaginal discharge in gynecological outpatients from January 2010 to December 2012 were collected. Questionnaires, clinical tests and laboratory tests were conducted by a uniform method. The single factor χ2 test and multiple factors Logistic regression analysis of factors affecting reproductive tract infections. Results Among 1 174 cases, 397 cases were infected with genital tract, the infection rate was 33.82%. Chronic cervicitis was common and the infection rate was 15.93%. The others were bacterial vaginosis 7.07%, candida vaginitis 3.58% Trichomonas vaginitis 2.21%, Chlamydia infection 1.45%, by χ2 test, women’s reproductive tract infections and age, education level, occupation, birth history, abortion history, contraceptive methods, monthly income and other factors are relevant; The conditional logistic regression analysis showed that the risk factors of reproductive tract infection in women were mainly age (P = 0.042, OR = 2.316), economic income (P = 0.017, OR = 3.097), education (P = 0.007, OR = 2.687) (P = 0.031, OR = 2.735) and abortion history (P = 0.011, OR = 2.716). Conclusions Reproductive tract infection in women of childbearing age is high, and its occurrence is related to many factors. It is necessary to carry out targeted health education and gynecological censuses, and take comprehensive interventions to control the occurrence of genital tract infections.