2014-2018年兰州市妇女病患病情况分析  

Women’s diseases in Lanzhou,2014-2018

作　　者：郑蓉 梁芳[2] 白瑾 胡怡萍[2] 白清丽 潘丽 李芝兰[1] ZHENG Rong;LIANG Fang;BAI Jin;HU Yi-ping;BAI Qing-li;PAN Li;Li Zhi-lan(School of Public Health,Lanzhou University,Lanzhou,Gansu 730000,China)

机构地区：[1]兰州大学公共卫生学院,甘肃兰州730000 [2]兰州市妇幼保健院,甘肃兰州730030

出　　处：《现代预防医学》2019年第21期3897-3901,共5页Modern Preventive Medicine

基　　金：兰州市科技计划项目(编号:2018-3-8)

摘　　要：目的了解2014-2018年兰州市妇女病患病情况,为兰州市妇女保健工作的开展和防治措施的制定提供科学依据。方法收集2014-2018年兰州市3县5区妇幼保健院上报的卫生年报,使用SPSS 20.0经卡方和卡方趋势检验以及动态数列描述分析数据。结果2014-2018年兰州市接受妇女病筛查总人数为1384375,患病人数为509997,患病率为36.84%,5年来妇女病患病呈上升趋势(χ2趋势=159.20,P<0.05),且城区和县区之间患病率的差异具有统计学意义(χ2=30672.01,P<0.05)。其中宫颈炎和阴道炎为最常见的妇女病,患病率分别为16.46%、16.44%,均呈上升趋势;子宫肌瘤患病率为2.21%,尖锐湿疣患病率为0.05%,二者均呈下降趋势;肿瘤的患病率宫颈癌为38.07/10万、乳腺癌为26.93/10万、卵巢癌为8.24/10万,患病率均呈下降趋势。结论2014-2018年兰州市妇女妇女病患病率较高且呈上升趋势;城乡差距较大。妇科炎症居妇女病首位且有上升趋势,妇科肿瘤发病呈下降趋势。应加强妇女病的筛查和诊疗,提高妇女保健工作质量。Objective To understand the screening and prevalence of women's diseases in Lanzhou from 2014 to 2018,so as to provide a scientific basis for the development of women's health care in Lanzhou and the formulation of prevention and control measures.Methods The annual reports of maternal and child health centers in 3 counties and 5 districts of Lanzhou from 2014 to 2018 were collected,SPSS 20.0 software was used to describe and analyze data by chi-square and chi-square trend test and dynamic sequence.Results From 2014 to 2018,the total number of screened women's diseases in Lanzhou was 1384375,the number of patients was 509997,and the incidence was 36.84%.In the past five years,the incidence of women's diseases showed an upward trend(χ2=159.20,P<0.05).There were significant differences in the prevalence between urban and county districts(χ2=30672.01,P<0.05).Among them,cervicitis and vaginitis were the most common women's diseases,with the prevalence rates of 16.46%and 16.44%,respectively,and it showed an upward trend.The prevalence of uterine leiomyoma was 2.21%and that of condyloma acuminatum was 0.05%,both of which showed a downward trend.The incidence of cervical cancer was 38.07/100000,breast cancer was 26.93/100000,and ovarian cancer was 8.24/100000.The prevalence rate showed a downward trend.Conclusion From 2014 to 2018,the incidence of women's diseases in Lanzhou is higher and rising,and the gap between urban and rural areas is larger.Gynaecological inflammation ranks first among women's diseases and has an upward trend,while the incidence of gynaecological tumors has a downward trend.Screening and diagnosis of women's diseases should be strengthened to improve the quality of women's health care.

关 键 词：妇女病 患病率 生殖道感染 妇女肿瘤 

分 类 号：R17[医药卫生—妇幼卫生保健]