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目的:通过实施重大公共卫生服务项目,开展农村妇女宫颈癌筛查,了解平安县农村妇女妇科常见病患病情况及宫颈癌发病情况,采取相应对策和干预措施,降低妇科病的发病率及宫颈癌发病率、死亡率,为农村妇女保健提供依据。方法:统一使用宫颈癌检查表格,按照农村妇女宫颈癌检查流程,对平安县2012年9月—2013年11月(35~64)岁的10 018例农村已婚育龄妇女进行宫颈癌检查。结果:1受检的10 018例农村已婚育龄妇女中,检出宫颈上皮内瘤变18人,患病率18.0/万,宫颈癌1例,宫颈癌患病率10.0/10万;2妇女妇科疾病患病情况:妇科疾病患病4 645例,患病率46.4%,其中慢性宫颈炎1 317例,占13.1%,阴道炎859人,占8.6%,其中滴虫性阴道炎285例,患病率2.8%,霉菌性阴道炎574例,患病率5.7%,细菌性阴道病2 447例,患病率24.4%。结论:在农村地区广泛开展宫颈癌检查工作是非常必要的,同时要提高医疗保健机构的服务能力,逐步提高广大农村妇女的自我保健意识和健康水平,从而达到降低宫颈癌发病率、死亡率的目标。
OBJECTIVE: To carry out screening of cervical cancer in rural women through the implementation of major public health service projects, to understand the prevalence of gynecological diseases and the incidence of cervical cancer in rural women in Ping County, and to take corresponding measures and interventions to reduce the incidence of gynecological diseases and cervical Cancer morbidity and mortality rates provide the basis for rural women’s health care. Methods: The cervical cancer checklist was used uniformly and cervical cancer was examined in 1018 rural married women of childbearing age from September 2012 to November 2013 (35-64) in Pingan County in accordance with the procedure of cervical cancer checkup among rural women. RESULTS: Of the 10 018 rural married women of childbearing age examined, 18 were diagnosed as cervical intraepithelial neoplasia, with a prevalence of 18.0 / million, cervical cancer in 1 case and cervical cancer in 10.0 / 100,000; 2 women The prevalence of gynecological diseases: 4 645 cases of gynecological diseases, the prevalence of 46.4%, of which 1 317 cases of chronic cervicitis, accounting for 13.1%, 859 were vaginitis, accounting for 8.6%, of which 285 cases of trichomonas vaginitis, The prevalence was 2.8%, 574 cases of fungal vaginitis, the prevalence was 5.7%, and 2 447 cases of bacterial vaginosis were found, the prevalence was 24.4%. Conclusions: It is very necessary to conduct a wide range of cervical cancer screening work in rural areas. At the same time, it is necessary to improve the service capacity of health care institutions and gradually raise the self-care awareness and health level of rural women so as to reduce the incidence and mortality of cervical cancer aims.