论文部分内容阅读
目的了解贵州省黔南地区农村已婚育龄妇女生殖系统疾病患病现状及其危险因素,为采取相应干预措施提供参考依据。方法于2015年1月—2016年3月,采用多阶段整群随机抽样方法抽取97 767名黔南地区15~49岁农村已婚育龄妇女进行问卷调查、妇科常规检查、盆腔B超检查、阴道分泌物检查、宫颈涂片检查和脱落细胞检查,确诊生殖系统疾病;采用SAS 9.1软件进行统计学分析。结果 97 767名农村已婚育龄妇女中,确诊生殖系统疾病57 021例,患病率为58.32%,标化患病率为57.21%。57 021例生殖系统疾病中,宫颈疾病28 664例(50.27%),外阴疾病13 765例(24.14%),阴道疾病7 865例(13.79%),附件疾病4 386例(7.69%),子宫疾病2 341例(4.11%)。多因素非条件logistic回归分析结果显示,年龄30~39岁、苗族、文化程度小学及以下、家庭人均年收入<3 000元、月经周期<24 d、月经量多、痛经、结婚年龄<18岁、初产年龄>25岁、怀孕次数≥2次、总生育次数≥2次、人流次数≥2次、引产次数≥2次、每月性生活次数>9次、分娩方式为顺产+剖宫产、避孕方式采用避孕环和丈夫职业为农民是贵州黔南地区农村已婚育龄妇女生殖系统疾病患病的主要影响因素。结论贵州黔南地区农村已婚育龄妇女生殖系统疾病患病率处于较高水平,应引起高度重视。
Objective To understand the prevalence and risk factors of reproductive system diseases in rural married women of childbearing age in southern Guizhou, and to provide reference for taking appropriate interventions. Methods From January 2015 to March 2016, 97 767 rural married women of childbearing age from 15 to 49 years old in southern Guizhou were recruited by multistage cluster random sampling method to conduct questionnaire survey, routine gynecological examination, pelvic ultrasound examination, vagina Secretions, cervical smears and exfoliated cells, diagnosed reproductive system diseases; using SAS 9.1 software for statistical analysis. Results Of 97 767 rural married women of childbearing age, 57 021 cases of confirmed reproductive system diseases were diagnosed, the prevalence was 58.32% and the standardized prevalence was 57.21%. Of the 5721 cases of reproductive system diseases, 28 664 (50.27%) were cervical diseases, 13 765 (24.14%) were vulvar diseases, 7 865 (13.79%) were vaginal diseases, 4 386 (7.69%) were accessory diseases, 2 341 cases (4.11%). Multivariate non-conditional logistic regression analysis showed that the average annual household income was less than 3,000 yuan, the menstrual cycle was less than 24 days, the amount of menstruation was increased, dysmenorrhea and marriage age were less than 18 years , Primiparous age> 25 years old, the number of pregnancies ≥ 2 times, the total number of reproductive cycles ≥ 2 times, the number of abortions ≥ 2 times, the number of induced labor ≥ 2 times, the number of sexual activities per month> 9, , The use of contraceptive ring contraceptive ring and husband as a farmer is a predictor of reproductive system diseases in rural married women of reproductive age in southern Guizhou. Conclusion The prevalence of reproductive system diseases in rural married women of reproductive age in Guizhou southern Guizhou is at a high level, which should be given high priority.