川北高山地区妇女宫颈糜烂危险因素分析  

SURVEY ON THE STATUS OF THE MAIN RISK FACTORS OF CERVICAL EROSION AMONG WOMEN IN THE HIGH MOUNTAIN AREA OF NORTHERN SICHUAN PROVINCE

作　　者：王琪琳[1] 李亚伦[2] 杨开选[3] 杨帆[3] 杨琴[1] 方堃[1] 王红静[1] 

机构地区：[1]四川大学华西第二医院妇产科,成都610041 [2]四川大学华西医院 [3]四川大学华西第二医院病理科

出　　处：《现代预防医学》2010年第6期1039-1040,1047,共3页Modern Preventive Medicine

基　　金：四川省科技厅社会公益研究项目基金资助(2008SG0022);四川省学术带头人和后备人选基金资助(07SRC-11)

摘　　要：[目的]了解川北高山地区妇女宫颈糜烂的患病情况,分析与宫颈糜烂相关的危险因素,提出预防措施。[方法]对四川省北部广元高山地区妇女886人采用整群抽样的方法进行普查,调查主要包括该地区妇女一般情况、月经相关情况、性生活及避孕情况、婚姻及生育情况、卫生习惯、白带情况和阴道炎情况的问卷调查和常规妇科检查,采用频数和多因素Logistic回归进行数据分析。[结果]调查妇女慢性宫颈炎的患病率为90.0%,其中宫颈糜烂的患病率为43.6%。多因素Logistic回归分析发现,宫颈糜烂的危险因素是年龄、初次生育年龄、生育间隔、流产次数、宫颈接触性出血和宫颈黏膜炎(P﹤0.05)。[结论]川北高山地区妇女的生殖健康现况令人堪忧,宫颈糜烂的发生是多因素综合作用的结果,应针对重点人群进行综合干预。[Objective] To investigate the status of cervical erosion in the high mountain area of Northern Sichuan province, and to analyze the relevant risk factors associated with cervical erosion, so as to make out protection measures. [Methods] By using Cluster sampling, 886 cases were enrolled. Statistical analysis of data was finished with frequency analysis and multiple factor Logistic regression. [Results] The morbidity of chronic cervicitis and cervical erosion were 90.0% and 43.6%, respectively. Our study revealed that the main risk factors of cervical erosion were as follows： age, the initial child- bearing age, the frequency of abortion, contact bleeding of cervical and endocervicitis. [Conclusion] The status of reproduc- tive health of women in the high mountain area of Northern Sichuan province was worried. The cervical erosion was caused by multiple factors.Close attention should be paid to the prevention of risk factors and protective measures taken, including strengthening female health care, implementing screening program at regular intervals.

关 键 词：宫颈糜烂 川北高山 危险因素 

分 类 号：R711.32[医药卫生—妇产科学]