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目的:调查基层军官女性家属乳腺增生症患病情况及相关影响因素。方法:选择在我院行乳腺体检的某基层部队军官女性家属386例,另选择同期在我院行乳腺体检的地方育龄女性402例。采用自制调查表进行调查,内容包括年龄、文化程度等基本信息,以及人工流产史、初潮年龄、家族乳腺疾病史、夫妻生活满意度、哺乳时间、情绪是否稳定(是否存在焦虑和抑郁)等情况。所有被调查者均由同一高年资医师进行问诊、触诊,使用CMS-100型红外乳腺诊断仪对双侧乳腺进行检查。结果:基层军官女性家属罹患乳腺增生症213例,占55.2%(213/386);地方育龄女性为164例,占40.8%(164/402);两者患病率比较,差异非常显著(P<0.01)。基层军官女性家属中有人工流产史、夫妻生活不满意、哺乳时间短(<6个月)、情绪不稳定(可疑焦虑和抑郁)者所占比例,均显著或非常显著高于地方育龄女性(P<0.05,P<0.01),有家族乳腺疾病史、初潮年龄早(<14岁)者所占比例与地方育龄女性比较,差异不显著(P>0.05)。结论:基层军官女性家属乳腺增生症患病率较高,有人工流产史、夫妻生活不满意、哺乳时间短、情绪不稳定可能是相关危险因素。
Objective: To investigate the prevalence of maternal prostatic hyperplasia in grassroots military officers and related factors. Methods: A total of 386 cases of military family members of a grassroots army officer who had undergone breast examination in our hospital were selected. Another 402 cases of childbearing age were selected in our hospital during the same period. The survey was conducted with a self-made questionnaire, which included basic information on age and educational level, as well as history of induced abortion, age of menarche, history of familial breast disease, satisfaction of husband and wife, breastfeeding time, emotional stability (anxiety and depression) . All respondents were interviewed by the same senior physician, palpation, the use of CMS-100 infrared breast diagnostic apparatus for bilateral breast examination. Results: 213 cases of breast hyperplasia were found in grassroots military officers, accounting for 55.2% (213/386), 164 (84.8%) were local childbearing age, the difference was significant (P <0.01). The proportion of women with grassroots military officers who had abortion history, unsatisfied husband and wife, short time to breastfeeding (<6 months), emotional instability (suspicious anxiety and depression) were significantly or very significantly higher than those of local women of childbearing age P <0.05, P <0.01). There was no significant difference in the proportion of those with family history of breast disease and early menarche (<14 years) compared with those of local women of childbearing age (P> 0.05). Conclusion: The prevalence of mammary gland hyperplasia in grassroots military officers is relatively high. There is a history of induced abortion, unsatisfactory marital life, short time of breastfeeding, and emotional instability may be related risk factors.