南京市特困家庭妇女常见妇科病危险因素分析  

The Analysis of Risk Factors on Common Gynecological Diseases in the Women with Special Needy Families in Nanjing

作　　者：吴盛辉[1] 徐芾[1] 郭宁[1] 陈启光[2] 

机构地区：[1]南京医科大学附属南京市妇幼保健院,210004 [2]东南大学公共卫生学院

出　　处：《中国妇幼保健》2005年第19期2489-2491,共3页Maternal and Child Health Care of China

基　　金：南京市医学科技发展重点项目(ZKX0301)

摘　　要：目的:了解南京市特困家庭妇女常见妇科病的相关危险因素,为预防控制其患病提供依据。方法:采用病例对照配对原则对南京市城郊728例特困家庭妇女进行问卷调查、妇科检查和实验室检测,选取文化程度、职业、卫生习惯、婚育史、产次、孕次等因素进行单因素、多因素Logistic回归分析。结果:清洗外阴的时间间隔≥2 d的妇女患妇科病的危险性是间隔1 d者的3.722倍;以产钳或胎吸助产的妇女患宫颈炎的危险性是自然顺产者的4.333倍;放环的妇女患阴道炎的危险性是不放环者的3.254倍。结论:清洗外阴的时间间隔≥2 d是常见妇科病的危险因素;产钳或胎吸助产是宫颈炎的危险因素;放置节育环是阴道炎的危险因素。Objective： To study risk factors on Gynecological Diseases in the women with special needy families in Nanjing. Methods： Utilize the paired case - control study to survey 728 women cases in the special needy families in Nanjing followed by questionnaire, gynecological examination as well as laboratory test. Univariable analysis and multivariate logistic regression analysis were carried out with 1 ： 1 case - control methodology. Results： Logistic regression analysis showed that common gynecological diseases was positively associated with the interval of washing vulga （ OR = 3. 722, 95 % CI： 1. 029 - 3.459） ; Cervicitis was positively associated with machanism of labor （OR =4.333, 95% CI： 1.235 - 15. 206）; Vaginitis was associated with IUDs （OR = 3. 254, 95% CI： 1.233 - 8.585）. Conclusion ： The risk factor of common gynecological diseases was the interval of washing vulga ≥ 2 days. The risk factor of cervicitis was forceps delivery or application of vacuum extractor. The risk factor of vaginitis was using IUDs.

关 键 词：特困家庭 妇科病 宫颈炎 阴道炎 危险因素 病例对照研究 

分 类 号：R173[医药卫生—妇幼卫生保健]