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目的:分析上海市中心城区贫困妇女妇科疾病患病情况,掌握长宁区贫困妇女妇女病发病趋势,了解疾病谱变化情况,研究对策。方法:2009年1～12月对长宁区4 710例贫困妇女按照统一制订的《上海市长宁区妇女保健手册》中的普查表格询问、登记并进行妇科及相应的辅助检查,对常见妇科病分年龄段进行比较分析,并将近4年长宁区已婚妇女妇科普查结果进行对比研究。结果:2009年1～12月长宁区4 710例贫困妇女常见病患病率为44.65%,较当年普通妇女病普查患病率(35.09%)高出9.56%,各疾病患病率由高到低依次为子宫肌瘤、乳腺肿块、宫颈中重度糜烂、宫颈息肉、卵巢囊肿、阴道炎。子宫肌瘤和乳腺肿块以41～50岁组为高发人群,其患病率有逐年上升的趋势,尤以子宫肌瘤患病率上升明显;另2007～2009年近3年间长宁区20例乳腺癌和3例子宫内膜癌患者的年龄均在45～60岁之间,而这部分妇女有相当多的人已退休,回到社区。结论:加强社区妇女保健的一级预防、开展针对性的健康教育和自我保健、妇女更年期保健,做好妇科肿瘤、乳腺疾病的防治工作,全面推进贫困妇女妇科病和乳腺病筛查、及时落实受检患者的健康咨询工作是非常必要和有意义的。
OBJECTIVE: To analyze the prevalence of gynecological diseases among poor women in downtown Shanghai, grasp the trend of women’s diseases in poor women in Changning District, understand the changes of disease spectrum, and study countermeasures. Methods: From January to December 2009, 4 710 poor women in Changning District were asked to inquire about the census form in “Shanghai Changning District Women’s Health Care Handbook”, and to register and carry out gynecological examination and corresponding auxiliary examination. The common gynecological diseases Age comparative analysis, and nearly 4 years of married women in Changning District, gynecological census results were compared. Results: The prevalence rate of common diseases among 4 710 poor women in Changning District from January to December 2009 was 44.65%, 9.56% higher than the prevalence rate of the general women’s disease survey in the same year (35.09%). The prevalence of each disease was from high to low Followed by uterine fibroids, breast lumps, severe erosion of the cervix, cervical polyps, ovarian cysts, vaginitis. The prevalence of uterine fibroids and breast masses in 41- to 50-year-old group was high, and the prevalence increased year by year. The prevalence of uterine fibroids increased significantly. In the other 3 years from 2007 to 2009, 20 cases of breast Cancer and 3 cases of endometrial cancer patients are aged 45 to 60 years old, and a considerable number of these women have retired and returned to the community. Conclusion: To strengthen the primary prevention of women’s health care in community, to carry out targeted health education and self-care, women’s menopause care, prevention and treatment of gynecologic oncology and breast diseases, comprehensively promote the screening of gynecological diseases and mastosis in poor women and timely implementation It is very necessary and meaningful for the health consultation of the patients to be inspected.