慢性宫颈炎的临床特征及相关危险因素分析  

Analysis on clinical characteristics and related factors of chronic cervicitis

作　　者：李华梅 黄春优[1] LI Huamei;HUANG Chunyou(Department of Obstetrics and Gynecology,Dongguan Humen Hospital,Guangdong,Dongguan 523900,China)

机构地区：[1]广东省东莞市虎门医院妇产科

出　　处：《中国医药科学》2019年第22期99-101,179,共4页China Medicine And Pharmacy

摘　　要：目的探讨慢性宫颈炎的临床特征,并分析影响慢性宫颈炎发病的高危因素。方法选取我院2016年8月~2018年8月收治的慢性宫颈炎患者126例为观察组,选取同时期于我院接受妇科检查的健康体检者126例作为对照组。记录126慢性宫颈炎患者的临床特征,并对影响慢性宫颈炎发病的因素进行单因素及Logistic回归分析。结果126例患者中,以宫颈糜烂发生率最高,其次为宫颈肥大。单因素分析结果显示,两组不同年龄、居住环境、工作性质、初次性生活年龄、怀孕次数、流产次数、放置宫内节育器情况比较,差异有统计学意义(P<0.05)。多因素结果显示,年龄<50岁、居住环境为农村、工作性质为体力劳动、初次性生活年龄<18岁、怀孕次数≥2次、流产次数≥2次及放置宫内节育器为影响慢性宫颈炎发病的高危因素(P<0.05)。结论影响慢性宫颈炎的发病因素较多,临床应根据其临床特征及高危因素有针对性的预防,以减少慢性宫颈炎的发生。Objective To explore the clinical characteristics of chronic cervicitis and analyze the high-risk factors of chronic cervicitis.Methods 126 patients with chronic cervicitis who were admitted and treated in our hospital from August 2016 to August 2018 were selected as the observation group.Meanwhile,126 healthy subjects who underwent physical examinations during the same period were selected as the control group.The clinical characteristics of 126 patients with chronic cervicitis were recorded and the influencing factors of chronic cervicitis were analyzed by univariate and Logistic regression analysis.Results Among the 126 patients,the incidence of cervical erosion was the highest,followed by cervical hypertrophy.Univariate analysis showed that the differences between the two groups in different ages,living environment,working nature,age of first sexual life,number of pregnancies,number of abortions and placement of intrauterine devices were statistically significant(P<0.05).Multi-factor results showed that age over 50 years old,living in rural area,manual workers,first sexual life age less than 18 years old,pregnancy frequency equal or over 2 times,abortion frequency equal or over 2 times and placement of intrauterine device were high-risk factors of chronic cervicitis(P<0.05).Conclusion There are many factors affecting chronic cervicitis.Clinically,targeted prevention should be based on its clinical characteristics and high-risk factors to reduce the incidence of chronic cervicitis.

关 键 词：慢性宫颈炎 宫颈糜烂 宫颈肥大 宫内节育器 流产次数 

分 类 号：R711.32[医药卫生—妇产科学]