广东省2008—2017年妇女常见病患病及变化趋势  

Prevalence rate of common gynecological diseases and its variation trend among 20 – 64 old women in Guangdong province: 2008 – 2017

作　　者：武丽[1] 马远珠[1] 纪存委[1] 祝新红 王雄虎[1] 夏建红[1] 李兵[1] WU Li;MA Yuan-zhu;JI Cun-wei(Guangdong Women and Children Hospital,Guangzhou,Guangdong Province 511442,China)

机构地区：[1]广东省妇幼保健院,广州511442

出　　处：《中国公共卫生》2020年第8期1221-1224,共4页Chinese Journal of Public Health

基　　金：广东省医学科研基金课题(C2018019)。

摘　　要：目的了解广东省妇女常见病筛查覆盖情况,分析广东省妇女常见病患病及变化趋势,为制定有效的妇女常见病防治策略、提高妇女健康提供依据。方法对广东省2008—2017年10年间全省接受妇女病筛查的65227776人的常见妇女病患病情况及变化趋势进行回顾性分析。结果2008—2017年10年间广东省妇女病筛查率由2008年的30.74%增加到2017年的77.24%;妇女常见病患病率呈现下降趋势,但阴道炎的患病率呈上升趋势,同时阴道炎在生殖道感染中所占比例逐年提高,从2008年的40.03%上升到2017年的61.99%;女性恶性肿瘤中宫颈癌和乳腺癌的检出率较高。结论2008—2017年妇女常见病筛查率逐步提高,妇女常见病患病率呈现下降趋势,但阴道炎患病率上升,应制定有效策略,及时了解妇女常见疾病谱变化,做好生殖道感染的早期控制,从而促进妇女健康。Objective To examine the coverage of gynecological diseases screening in Guangdong province and to analyze the prevalence rate common gynecological diseases and its changing trend among 20–64 years old women in the province for developing effective intervention measures for the prevention and control of gynecological diseases.Methods We collected yearly national notifiable statistic tables for gynecological disease screening in 144 counties or districts across Guangdong province from 2008 to 2017.Then the prevalence rate of gynecological diseases and its variation trend were retrospectively analyzed.Results During the 10-year period,totally 65227776 person times of gynecological diseases screening were performed among the women aged 20–64 years and the screening rate was increased from 30.74%in 2008 to 77.24%in 2017 in the province.A decreasing trend for the prevalence of common gynecological diseases but an increasing trend for the prevalence of vaginitis were observed during the period.The proportion of diagnosed vaginitis in reproductive tract infections increased yearly from 40.03%in 2008 to 61.99%in 2017.The detection rate of cervical cancer and breast cancer were higher among female malignant tumors.Conclusion From 2008 to 2017 in Guangdong province,the coverage rate of common gynecological diseases screening increased gradually;the prevalence rate of common gynecological diseases decreased but the that of vaginitis increased.The study results suggest that surveillance and early interventions on reproductive tract infection should be promoted for the improvement of women health.

关 键 词：妇女常见病 筛查 患病率 

分 类 号：R172[医药卫生—妇幼卫生保健]