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目的:探讨厦门市2004～2008年女职工妇科常见疾病发病率及疾病谱的变化,采取相应对策和干预措施,降低妇科病的发病率,为妇女保健提供依据。方法:对2004～2008年厦门市100多家行政、企事业单位中20～65岁的54 581例女职工进行妇科病普查,按照厦门市统一制定的妇科普查卡片内容,对普查对象逐个询问病史填写卡片,常规进行妇科检查及辅助检查。结果:2004～2008年妇科病的患病率呈逐年上升趋势(P<0.005)。除宫颈癌和乳腺癌以外,宫颈炎、阴道炎、子宫肌瘤、乳腺增生的患病率呈上升趋势(P<0.005)。结论:厦门市女职工妇科病总体患病率呈上升趋势,几种常见的妇科病患病率也呈上升趋势,说明定期进行妇科病普查普治是必要的,同时应加强健康教育,提高女职工的自身保健知识,养成健康的生活方式,努力降低妇科常见疾病发病率,提高妇女健康水平。
Objective: To explore the changes of gynecological common diseases and disease spectrum among female workers in Xiamen City from 2004 to 2008, and take appropriate countermeasures and interventions to reduce the incidence of gynecological diseases and provide the basis for women’s health care. Methods: A total of 54 581 women workers from 20 to 65 years old in more than 100 administrative, enterprises and institutions in Xiamen City from 2004 to 2008 were surveyed. According to the gynecological census cards unifiedly formulated by Xiamen City, the survey subjects were asked about their medical history Fill in the card, routine gynecological examination and auxiliary examination. Results: The prevalence of gynecological diseases increased year by year from 2004 to 2008 (P <0.005). In addition to cervical cancer and breast cancer, the prevalence of cervicitis, vaginitis, uterine fibroids, breast hyperplasia showed an upward trend (P <0.005). Conclusion: The overall prevalence of gynecological diseases among female workers in Xiamen City is on an upward trend. The prevalence of several common gynecological diseases also shows an upward trend, indicating that it is necessary to regularly carry out general survey of gynecological diseases. At the same time, health education should be strengthened to increase women Employees own health knowledge, develop a healthy lifestyle, efforts to reduce the incidence of common gynecological diseases, improve women’s health.