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作 者:金善循[1] 徐克惠[2] 钟兰萍[2] 李京梅[1] 孙玲玲[1]
机构地区:[1]四川省妇幼保健院,成都610031 [2]四川大学华西第二医院妇产科
出 处:《现代预防医学》2010年第9期1653-1655,共3页Modern Preventive Medicine
摘 要:[目的]通过对育龄期妇女的常见病以及相关保健知识知晓情况的调查,了解育龄期妇女的生殖健康现状,指导妇女保健工作。[方法]采用自制问卷对四川省妇幼保健院2008年6~9月份门诊就诊的18~45岁育龄期妇女进行调查,所得数据录入Excel软件,数据处理采用SPSS17.0软件包。[结果]①18~29岁组中痛经人数明显高于其他年龄组(30~39岁和40~45岁组),40~45岁组人群的月经异常发生率明显高于其他两个年龄组。②排在前两位的避孕措施是安全套(30.9%)和宫内节育器(22.9%),流产2次以上人群的避孕措施选择中,避孕套使用率明显高于流产1次以下者(P﹤0.01)。③就诊的育龄妇女的常见病为生殖系统感染(51.9%)和不孕症(10.5%);性传播疾病检出率为5.09%。④多数妇女还缺乏卫生常识;妇女病的普查率还很低(仅占21.9%)。[结论]今后妇女保健工作需要针对以上情况:①加强18~29岁和40~45岁组月经病的诊治和相关知识宣教;②大力倡导安全、避孕有效率高的口服避孕药的使用,避孕套的正确使用或能在一定程度上降低意外妊娠率;③应进一步加强妇女常见病知识的宣传教育,降低生殖系统炎症、不孕症的发生率。[Objective] To get the current health situation of reproductive women, and to guide the women health care work through the investigation of common illnesses in reproductive women as well as the correlative health knowledge. [Methods] From June to September in 2008, used self-administered questionnaires to investigate reproductive women of 18-45 in out-patient clinic of Sichuan Maternal and Child Health Care Centre. The obtained data were inputted by Excel software and an- alyzed by SPSS17.0 software. [Results] ① The number of dysmenorrhea in women of 18-29 was remarkably higher than that of the other 2 age teams (30-39 and 40-45); The abnormal menstruation incidence in women of 40-45 was remarkably higher than that the other age teams. ② The first two contraceptive methods were condom and IUD; The condom users having two more abortion was greatly more than those having one or no abortion. (P﹤0.01). ③ The common gyneoopathy of reproductive women were reproductive tract infection ( 51.9% ) and infertility ( 10.5% ). The detection rate of sexually transmitted diseases was 5.09%. ④ Most women were still lack of women health care knowledge. The census rate of gynecopathy was low (21.9% ). [Conclusion] According to the above results, the women health care center should strengthen the following work: ① Pay attention to the therapy of menopathy as well as propaganda of correlative knowledge in women of 18-29 and 40-45; ② Promote the use of oral contraceptive (safe and effective); The correct use of condom may reduce the unplanned pregnancy. ③ Strengthen the propaganda and education of common gyneoopathy to reduce reproductive tract infections and infertility.
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