女性外阴白色病变发病的影响因素研究  

Study on the influencing factors of the morbidity of female vulva white lesions

作　　者：吴娟[1] WU Juan(Department of Medical,Jiangxi Province Maternal and Child Health Hospital,Nanchang330008,China)

机构地区：[1]江西省妇幼保健院医务科,江西南昌330008

出　　处：《中国当代医药》2020年第19期133-135,共3页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20165466)。

摘　　要：目的探讨女性患者发生外阴白色病变的相关影响因素。方法回顾性分析2014年1月~2017年10月于我院就诊且经病理证实为外阴白色病变的200例患者为外阴白色病变组,抽取同期陪诊患者亲友、健康体检者或住院患者健康家属200例为健康对照组。记录一般资料,对可能影响女性发生外阴白色病变的各因素进行单因素及多因素Logistic回归分析。结果两组穿着内裤材料比较,差异无统计学意义(P>0.05);外阴白色病变组每日坐姿工作时间≥6 h、辛辣饮食习惯、悲观消极情绪、免疫疾病、阴道炎或尿道炎、产伤、产次≥2次占比高于健康对照组,差异均有统计学意义(P<0.05);经Logistic回归分析发现,每日坐姿工作时间≥6 h、辛辣饮食习惯、悲观消极情绪、免疫疾病、阴道炎或尿道炎、产伤、产次≥2次为患者发生外阴白色病变的相关影响因素(OR>1,P<0.05)。结论每日坐姿工作≥6 h、辛辣饮食习惯、悲观消极情绪均为女性患者发生外阴白色病变的危险因素,临床可通过改善工作方式及饮食习惯,改善其心理状态,降低发生外阴白色病变风险。Objective To investigate the influencing factors of the morbidity of vulva white lesions in female patients.Methods The retrospective analysis was adopted.A total of 200 patients confirmed as vulva white lesions by pathological section in the hospital from January 2014 to October 2017 were selected as vulva white lesions group,and 200 healthy female relatives and friends,health check-ups or family members of inpatients who were accompanied during the same period were selected as healthy control group.The general data were recorded,and univariate and multivariate Logistic regression analysis were performed to find the influencing factors of vulva white lesions in female patients.Results There was no statistical difference in the proportion of underwear material between two groups(P>0.05).The proportion of time daily sitting work≥6 h,spicy dietary habit,pessimistic and passive emotions,immune disease,vaginitis or urethritis,birth injury,and parity(≥2 times)in vulval white lesions group were higher than those in healthy control group(P<0.05).The Logistic regression analysis found that time daily sitting work≥6 h,spicy dietary habit,pessimistic and passive emotions,immune disease,vaginitis or urethritis,birth injury,and parity(≥2 times)were influencing factors of vulval white lesions in female patients(OR>1,P<0.05).Conclusion Daily sitting work≥6 h,spicy dietary habit,pessimistic and passive emotions,etc.are risk factors that cause vulva white lesions in female patients.Clinically,it can improve their psychological state and reduce their risks of vulva white lesions by improving the working style and dietary habit.

关 键 词：外阴白色病变 流行病学 饮食习惯 阴道炎 尿道炎 产伤 

分 类 号：R711.72[医药卫生—妇产科学]