2015—2020年兰州市农村妇女宫颈癌筛查结果及相关因素分析  

Analysis of Cervical Cancer Screening Status and Related Factors among Rural Women in Lanzhou from 2015 to 2020

作　　者：蔺茹[1] 邵亚雯 白岩[1] 刘金风[1] 丁丽玮[1] 雷骏 刘青[1] LIN Ru;SHAO Ya-wen;BAI yan;LIU Jin-feng;DING Li-wei;LEI Jun;LIU Qing(Gansu Provincial Maternity and Child Care Hospital,Lanzhou,Gansu,730050,China)

机构地区：[1]甘肃省妇幼保健院,甘肃兰州730050

出　　处：《中国初级卫生保健》2022年第7期72-75,共4页Chinese Primary Health Care

基　　金：兰州市科技计划项目(2013-4-93)。

摘　　要：目的:分析兰州市农村妇女宫颈癌筛查结果,研究相关因素,以便采取更有效的措施控制宫颈癌的发生。方法:2015—2020年对兰州市全部户籍的35-64岁农村妇女开展宫颈癌筛查工作,将相关结果录入妇幼重大公共卫生项目年报并进行分析。结果:2015—2020年兰州市共有287947名农村妇女进行了宫颈癌筛查,失访26341人,其中检出宫颈癌患者136人,检出率为51.99/10万(136/261606);有妇科炎症和大专及以上文化程度的农村妇女人乳头瘤病毒感染率低。第1周期(2015—2017年)和第2周期(2018—2020年)宫颈病变和宫颈癌阳性妇女检出率分别为138.1810万(141/102041)和1121.73/10万(1789/1121.73),不同周期宫颈病变和宫颈癌阳性妇女检出率比较,差异有统计学意义(χ^(2)=821.244,P<0.01)。兰州市城区和县(区)农村妇女宫颈病变及宫颈癌检出率分别为636.34/10万和820.50/10万。结论:兰州市农村妇女宫颈癌发病率高,防控形势非常严峻,需积极控制女性妇科炎症的发病率,同时应做好健康宣教工作。OBJECTIVE Through the analysis of cervical cancer screening results of rural women in three counties and five districts of Lanzhou,to clarify the cervical health status of rural women in Lanzhou,so as to take more effective measures to improve the cervical cancer screening rate of rural women in Lanzhou,to reduce the incidence of cervical cancer.METHODS From 2015 to2020,cervical cancer screening was carried out for all rural women aged 35 to 64 with household registration in Lanzhou,and the relevant results were recorded into the annual report of major public health projects for women and children and analyzed.RESULTS From 2015 to 2020,a total of 287947 rural women in Lanzhou were screened for cervical cancer,and 26341 were lost to follow-up,including 136 patients with cervical cancer,with a detection rate of 51.99/100000(136/261606).Low HPV infection rate in rural women without gynecological inflammation and college education or above.In cycle 1(2015-2017)and cycle 2(2018-2020),the detection rate was 138.18/100000(141/102041)and 1121.73/100000(1789/159565),respectively.The detection rates among positive women with cervical lesions and cervical cancer showed a statistically significant difference(χ^(2)=159565,P<0.01).The detection rate of cervical lesions and cervical cancer in urban and county rural women of Lanzhou was636.34/100000 and 820.50/100000.CONCLUSION The incidence of cervical cancer in rural women in Lanzhou is high,and the prevention and control situation is very severe.It is necessary to actively control the incidence of gynecological inflammation in women,and we should do a good job in health education.

关 键 词：农村妇女 宫颈癌前病变 宫颈癌 人乳头瘤病毒 

分 类 号：R197[医药卫生—卫生事业管理]