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目的:对章丘市企事业单位女职工乳腺疾病的普查结果进行分析,了解乳腺疾病的患病情况,有针对性地制定乳腺疾病防治措施,为进一步开展全市农村妇女乳腺疾病普查提供理论指导和技术支持,为政府制定相关政策提供理论依据。方法:采用整群抽样法,对章丘市企事业单位所有女职工进行乳腺疾病普查。包括物理检查、近红外线乳透仪检查、彩色高频多普勒超声波诊断仪检查。采用回顾性研究方法,查阅近5年章丘市妇女乳腺疾病普查资料,进行对比分析。用Excel软件建立数据库,用SPSS 12.0软件对数据进行统计分析。结果:①本次共普查12 372例女职工,年龄范围23~75岁。查出乳腺疾病6 460(52.21%)例,居检出率前3位的乳腺疾病为乳腺增生症(6 258例,50.58%)、乳腺纤维腺瘤(189例,1.53%)、乳腺癌(10例,0.08%)。②不同职业中教师乳腺疾病的患病率最高,达58.05%;③近5年来乳腺疾病患病率逐年上升,从2004年的26.13%上升到2008年的52.21%。结论:健康的生活方式,可预防乳腺疾病,定期乳腺疾病普查,“早预防、早发现、早诊断、早治疗”是乳腺疾病防治工作的基本策略和关键措施。
OBJECTIVE: To analyze the census results of breast diseases of women workers in enterprises and public institutions in Zhangqiu City, to understand the prevalence of breast diseases and to formulate the prevention and treatment measures of breast disease in a targeted manner, to provide theoretical guidance for further carrying out the census of breast diseases in rural women in the city. Technical support, provide the theoretical basis for the government to formulate relevant policies. Methods: The cluster sampling method was used to survey the breast diseases of all female employees in enterprises and institutions in Zhangqiu City. Including physical examination, near-infrared milk through the instrument examination, color Doppler ultrasound diagnostic examination. Using retrospective research methods, access to the past five years, Zhangqiu City, breast disease survey data for comparative analysis. Using Excel software to establish a database, using SPSS 12.0 software for statistical analysis of the data. Results: (1) A total of 12 372 women workers were surveyed, with an age range of 23-75 years. Among the 6 460 (52.21%) cases of breast diseases detected, the first three breast cancer cases were breast hyperplasia (6 258 cases, 50.58%), breast fibroadenoma (189 cases, 1.53%), breast cancer 10 cases, 0.08%). ② The prevalence rate of breast diseases among teachers in different occupations was the highest, reaching 58.05%; ③ The prevalence of breast diseases in the past 5 years increased year by year, from 26.13% in 2004 to 52.21% in 2008. Conclusion: A healthy lifestyle, preventable breast disease, regular breast disease screening, “early prevention, early detection, early diagnosis, early treatment ” is the basic strategy and key measures for breast disease prevention and treatment.