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目的分析北京市海淀区花园路社区已婚育女性常见妇科疾病的发病情况,为社区制定相关防治措施提供参考。方法对城市社区1 580例35～60岁已婚育妇女基本情况调查和妇女病普查结果进行统计分析。结果常见妇科疾病的总患病率为46.5%(735/1 580),将受检女性按年龄分为35～44、45～52、53～60岁3个组,在35～44岁组各种妇女病的发病率最高,其乳腺疾病、宫颈炎、细菌性阴道病等患病率与较高年龄组间的差异有统计学意义。普查结果显示,宫颈炎与使用薄层细胞学技术(TCT)检测异常病例的差异无统计学意义;宫颈炎的发病率与不同妊娠史的差异有统计学意义。结论 35～44岁是常见妇科疾病的高发年龄,要重点关注;为早预防、早发现宫颈癌,无论是否患有宫颈炎,定期进行TCT筛查都是必要的;社区要强化对育龄女性避孕、减少妊娠次数的健康教育,降低宫颈炎的发病率。
Objective To analyze the incidence of common gynecological diseases among married women in Huayuan Road, Haidian District, Beijing, and to provide references for community-based prevention and control measures. Methods A survey was conducted on the basic conditions of 1 580 cases of married women aged 35 ~ 60 in urban areas and the general survey results of women’s diseases. Results The total prevalence of common gynecological diseases was 46.5% (735/1 580). The subjects were divided into three groups of 35 ~ 44,45 ~ 52,53 ~ 60 years by age, The highest incidence of women’s disease, the prevalence of breast disease, cervicitis, bacterial vaginosis and higher age groups were statistically significant. Census results showed that there was no significant difference between cervicitis and TCT in detecting abnormal cases. The incidence of cervicitis was significantly different from that of different pregnancy history. Conclusion 35-44 years old is the most common gynecological diseases of the high age, we must focus on; for early prevention, early detection of cervical cancer, whether or not suffering from cervicitis, regular TCT screening are necessary; community should strengthen the contraception of women of childbearing age , Reduce the number of pregnancy health education, reduce the incidence of cervicitis.