论文部分内容阅读
目的:探讨王店镇农村妇女生殖道感染(reproductive tract infections,RTI)的现状及危险因素。方法:于2009年5月～2010年5月对王店镇农村已婚育龄妇女进行问卷调查和妇科检查。结果:①3 540例被调查者中患慢性宫颈炎的比例最高,其次是细菌性阴道病,若以滴虫阴道炎、念珠菌阴道炎、细菌性阴道病、淋病、慢性宫颈炎等5项中1项为阳性作为生殖道感染的诊断依据,共有1 018例患有生殖道感染,占28.76%。②生殖道感染危险因素的单因素分析显示,与内源性感染阴道炎发病率相关的危险因素包括:文化程度低、既往有RTI病史和有人工流产史。性传播阴道炎的相关危险因素有:既往患RTI病史、孕次和产次增加。被调查对象的文化程度、既往患RTI病史、产次和流产等是慢性宫颈炎的危险因素。③多因素分析结果显示,既往患RTI病史是生殖道感染的主要危险因素,而内源性感染阴道炎的主要危险因素为人流史。结论:王店镇农村妇女生殖道感染发病率较高,并存在多种危险因素,应开展有针对性的、多种形式的生殖健康和性知识宣传教育活动,提倡健康行为,加强自我保健意识和能力,从而降低人工流产率。
Objective: To investigate the status and risk factors of reproductive tract infections (RTI) in rural women in Wangdian Town. Methods: From May 2009 to May 2010, questionnaires and gynecological examinations were conducted on rural married women of childbearing age in Wangdian Town. Results: (3) The 540 patients had the highest proportion of chronic cervicitis, followed by bacterial vaginosis. In the 5 cases of vaginitis, Candida vaginitis, bacterial vaginosis, gonorrhea and chronic cervicitis 1 was positive as the diagnosis of genital tract infection, a total of 1 018 cases of genital tract infection, accounting for 28.76%. Univariate analysis of the risk factors for reproductive tract infections showed that the risk factors associated with the incidence of vaginitis with endogenous infection included a low level of education, a history of prior RTIs and a history of induced abortion. The risk factors associated with sexually transmitted vaginitis include the history of previous RTIs, the number of pregnancies and births. The educational level of the respondents, history of prior RTIs, parity and abortion are risk factors for chronic cervicitis. ③Multivariate analysis showed that the history of previous RTI was the main risk factor for genital tract infection, while the main risk factor for endogenous vaginitis infection was the history of the abortion. Conclusion: The prevalence of genital tract infection in rural women in Wangdian Town is high, and there are many risk factors. Therefore, targeted and various forms of publicity and education on reproductive health and sexual knowledge should be carried out to promote healthy behavior and enhance self-care awareness And ability to reduce abortion rates.