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目的:了解德江县35~59岁已婚农村妇女生殖健康状况,掌握发病原因,制定有效的防治措施,从而降低发病率,以确保广大妇女群众的身心健康。方法:对20个乡镇343个行政村例35~59岁有性生活的农村妇女67200例进行宫颈癌检查,并对结果进行统计分析。结果:67200例中患各种妇科疾病者13688例,患病率为20.37%。其中生殖道感染13368例,患病率为19.89%,子宫肌瘤51例,患病率为0.08%,其他良性疾病269例,患病率为0.40%,癌前病变30例,患病率为0.04%,浸润癌0例,患病率为0,原位癌8例,患病率为0.01%。结论:德江农村妇女生殖道感染患病率高。其中妇科炎症所占比例高,对妇科疾病和宫颈癌相关知识的重视程度低,就诊率低,相关因素多。应加强科普知识宣传,转变观念,以便提高广大农村妇女的自我保健意识。
Objective: To understand the reproductive health status of married rural women aged 35-59 years in Dejiang County, master the causes of the disease and make effective prevention and control measures so as to reduce the incidence and ensure the physical and mental health of the majority of women. Methods: A total of 67200 rural women with sexual life in 343 administrative villages of 20 townships and 35-29 years of age were examined for cervical cancer, and the results were statistically analyzed. Results: There were 13,688 cases of various types of gynecological diseases in 67200 cases with the prevalence of 20.37%. Among them, 13368 cases of genital tract infection, the prevalence was 19.89%, 51 cases of uterine fibroids, the prevalence was 0.08%, 269 other benign diseases, the prevalence was 0.40%, premalignant lesions in 30 cases, the prevalence was 0.04%, 0 cases of invasive carcinoma, the prevalence was 0, 8 cases of carcinoma in situ, the prevalence was 0.01%. Conclusion: The prevalence of genital tract infection among rural women in Dejiang is high. Which gynecological inflammation accounts for a high proportion of gynecological diseases and cervical cancer-related knowledge of low priority, low attendance, many related factors. Publicity on popular science should be strengthened and attitudes should be changed in order to raise the awareness of women in rural areas about self-care.