女性青少年门诊就诊疾病特征分析——以重庆市妇幼保健院为例  

Analysis of the Characteristics of Female Adolescents——A Case Study of Chongqing Maternal and Child Health-Care Hospital

作　　者：黄金园 邓雨峰[1] 何丹[1] 彭茸[1] 钱婧[1] 张海燕[1] HUANG Jin-yuan;DENG Yu-feng;HE Dan;PENG Rong;QIAN Jing;ZHANG Hai-yan(Chongqing Maternal and Child Health-Care Hospital,Chongqing 400021,China)

机构地区：[1]重庆市妇幼保健院

出　　处：《西南大学学报（自然科学版）》2018年第11期30-34,共5页Journal of Southwest University(Natural Science Edition)

基　　金：国家自然科学基金项目(31571190)

摘　　要：目的:了解重庆市女性青少年门诊就诊疾病的现状及特点,为青少年健康宣教提供依据,促进青春期保健工作更加有效地实施.方法:选择2014年1月-2017年12月35 649例在重庆市妇幼保健院门诊就诊的女性青少年作为研究对象,分别针对不同年龄组就诊人次数、前5类就诊原因及不同年龄的疾病热点进行分析.结果:随着年龄增长,就诊人次数逐渐增加;前5类就诊原因分别为妇科内分泌疾病、妊娠及相关疾病、计划生育、妇科炎性疾病、健康体检;10岁组以妇科炎性疾病为主,11~17岁各组以妇科内分泌疾病为主,18~19岁2组妊娠及相关疾病、计划生育问题为主要原因.结论:妇科内分泌疾病为女性青少年就诊的主要原因,不同年龄组女性青少年就诊主要疾病谱存在差异,青春期保健应针对青少年就诊的疾病热点开发更适宜的健康教育课件,采取多种形式进行健康宣教,政府主导、医教联动,做好青春期保健工作.Objective:To understand the disease status of female adolescents in out-patient clinics in Chongqing,so as to provide evidence for adolescent health education and promote adolescent health care work.Methods:A total of 35649 female adolescents who were treated in Chongqing Maternal and Child Health-Care Hospital outpatient clinic from 2014 to 2017 were studied.The frequency of visits,the first five causes and the hotspot diseases in different age groups were analyzed.Results:The number of patients increased with increasing age.The first five causes were gynecological endocrine diseases,pregnancy and pregnancy-related diseases,family planning,gynecological inflammatory diseases,and physical examination.Gynecological inflammatory diseases were the main causes in the 10-year-old group,gynecological endocrine diseases were the main causes in the 11-17-year-old groups,pregnancy-related diseases and family planning problems were the main causes the in 18-19-year-old groups.Conclusion:Gynecological endocrine diseases are the main causation.There are differences in the main disease spectrum in different age groups.In the work of adolescent health care,more appropriate health education coursewares should be developed according to the hotspot diseases,and diversified forms of health education should be adopted. The government should act as a leader in the linkage between health care and education and do a good job in adolescent health care.

关 键 词：青春期保健 女性青少年 妇科内分泌疾病 青少年保健门诊 健康宣教 

分 类 号：R173.2[医药卫生—妇幼卫生保健]