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目的探讨社区开展女性乳腺疾病防治可行性。方法对石景山社区女性居民进行乳腺疾病普查,建立家庭健康档案,分为易患乳腺疾病类、一般乳腺疾病类、乳腺癌前病变类,对不同人群进行跟踪管理。结果石景山区社区女性居民参加普查人数为23664例,发现乳腺疾病的6944例,占29.34%,其中乳腺小叶增生6635例,检出率28.04%,占乳腺疾病的95.55%。30~59岁组为乳腺增生疾病的高发年龄。普通居民与高校女性居民同年龄段的患病率相比较低,P<0.05差异有统计学意义。2008年患病率与2007年相比由36.08%下降至25.10%(P<0.05)。结论社区积极做好疾病预防,加强乳腺自检教育,做好社区诊断的周期计划,开展乳腺疾病的普查等女性乳腺疾病的防治是可行而且必要的。
Objective To explore the feasibility of community-based prevention and treatment of female breast diseases. Methods Female residents in Shijingshan community were surveyed on breast diseases, and family health records were set up. They were divided into predominant breast diseases, general breast diseases and precancerous lesions, and were followed up and managed by different groups. Results There were 23664 female residents in Shijingshan community. There were 6944 cases of breast diseases, accounting for 29.34%. Among them, 6635 cases of lobular hyperplasia were detected, the detection rate was 28.04%, accounting for 95.55% of breast diseases. 30 to 59 years old group of high incidence of breast hyperplasia disease age. The prevalence of common residents and college female residents in the same age group was relatively low, P <0.05 difference was statistically significant. The prevalence in 2008 dropped from 36.08% to 25.10% compared with 2007 (P <0.05). Conclusion It is feasible and necessary for the community to actively prevent and cure female breast diseases such as disease prevention, self-education in breast enhancement, periodic planning of community diagnosis and census of breast diseases.