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目的:探讨江苏农村地区已婚育龄妇女卵巢囊肿发生的危险因素,为提高育龄妇女生殖健康水平提供理论依据。方法:采用病例对照研究方法,对427例卵巢囊肿病例按照1∶2匹配对照,使用统一的问卷、健康检查表进行调查,分析卵巢囊肿发生的危险因素。结果:与无痛经对象相比,重度痛经发生卵巢囊肿风险升高(调整OR=3.936,95%CI=1.803~8.593),条件Logistic回归显示,卵巢囊肿发生风险升高的因素有重度痛经(OR=2.966,95%CI=1.188~7.408)和附件触诊异常(OR=44.999,95%CI=22.718~89.129)。结论:重度痛经和附件异常可能与育龄妇女卵巢囊肿的发生风险升高相关,影响卵巢囊肿发生的其他危险因素需要进一步探讨。
Objective: To explore the risk factors of ovarian cysts in married women of childbearing age in rural areas of Jiangsu Province, and to provide theoretical basis for improving the reproductive health of women of childbearing age. Methods: A case-control study was conducted on 427 cases of ovarian cysts in accordance with a 1: 2 matching control. Uniform questionnaires and health check-ups were used to investigate the risk factors of ovarian cysts. Results: Compared with those without pain, the risk of ovarian cyst in severe dysmenorrhea increased (adjusted OR = 3.936,95% CI = 1.803 ~ 8.593). The conditional logistic regression showed that the risk of ovarian cyst increased with severe dysmenorrhea = 2.966, 95% CI = 1.188 ~ 7.408) and accessory palpation abnormalities (OR = 44.999,95% CI = 22.718 ~ 89.129). Conclusion: Severe dysmenorrhea and anomalies may be related to the increased risk of ovarian cysts in women of childbearing age. Other risk factors that affect ovarian cyst need to be further explored.