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目的了解辖区内两个社区适龄妇女的生殖健康状况、影响因素,旨在提高女性对乳腺癌及宫颈癌的足够重视和预防意识,提高妇女生活质量。方法采用常规妇科检查(妇科双合诊、阴道扩阴器检查、白带常规检查、宫颈刮片检查)、乳腺彩超检查相结合的方法。结果妇科筛查率为85%,患病率为15%;子宫肌瘤检出率占首位(其中大于10周龄的中老年子宫肌瘤18个),其次为妇科炎性疾病;AS-CUS及以上检出率1%。乳腺筛查率91%,患病检出率为31.51%;检出乳腺癌2人,乳腺增生414人(占筛查人数的13.47%),可疑病例22人,可疑病例检出率0.71%。结论妇女的生殖健康状况不容乐观,应积极利用社区卫生医护防团队坚持开展针对适龄妇女,尤其是重点人群,以防治乳腺癌、宫颈癌相关知识的健康教育为重点,两癌筛查及防治生殖道感染为手段的普防普查普治工作,以期降低乳腺癌及宫颈癌的发病率,提高适龄妇女的生殖健康水平。
Objectives To understand the reproductive health status and influencing factors of women of the same age in two communities in the area and to improve women’s awareness and prevention awareness of breast cancer and cervical cancer so as to improve women’s quality of life. Methods The routine gynecological examination (gynecological double-consultation, vaginal dilator examination, leucorrhea routine examination, cervical smear), breast ultrasound combined with a method. Results The screening rate of gynecology was 85%, and the prevalence was 15%. The prevalence of uterine fibroids was the highest (18 of which were older than 10 weeks), followed by gynecological inflammatory diseases. AS-CUS And the above detection rate of 1%. Breast screening rate was 91%, prevalence rate was 31.51%; breast cancer 2, 414 breast hyperplasia (accounting for 13.47% of the number of screening), 22 suspicious cases, the detection rate of suspicious cases 0.71%. Conclusions Women’s reproductive health status is not optimistic. Community-based health care and prevention teams should be actively used to carry out health education focusing on women of childbearing age, especially key populations, and knowledge on prevention and treatment of breast cancer and cervical cancer. Screening for cancer and prevention of reproduction Road infection as a means of universal anti-general investigation work, with a view to reducing the incidence of breast cancer and cervical cancer and improve the reproductive health of women of reproductive age.