已婚妇女常见妇科病及预防保健措施分析  

Analysis of Common Gynecological Diseases and Preventive Health Measures of Married Women

作　　者：郭文 GUO Wen(Information Management and Health Education Department,Maternal and Child Health Care Office,Nanjing City Jiangbei New Area Public Health Service Center,Nanjing,Jiangsu 210044)

机构地区：[1]南京江北新区公共卫生服务中心妇幼保健所信息管理和健康教育科,江苏南京210044

出　　处：《智慧健康》2024年第20期11-13,共3页Smart Healthcare

摘　　要：目的对已婚妇女常见妇科病进行分析,探索有效的预防保健措施。方法选择2022年1—12月在本院门诊接受妇科疾病筛查的1025例已婚妇女为研究对象,将确诊为妇科疾病的252例患者纳入观察组,其余773例健康妇女纳入对照组,分析妇科病检出情况及危险因素。结果妇科病筛查结果显示,常见妇科病为阴道炎、宫颈上内瘤变、子宫肌瘤、卵巢囊肿、月经不调/痛经,检出例数分别为98例、39例、30例、19例、42例,另外包括其他妇科病24例。对发病年龄进行分析发现,妇科病高发于40~49岁人群和20~30岁且月经不调、痛经高发的人群;两组在文化程度、生育史、阴道分娩史、外阴清洗、经期性生活史、伴侣同房前未清洗、性生活频次、发生外阴症状及时就诊、机体免疫力及呼吸道感染方面的差异显著(P<0.05)。多因素分析结果显示,年龄≥40岁、文化程度低、伴侣同房未清洗、发生外阴症状未及时就诊为已婚妇女常见妇科病的独立危险因素(P<0.05)。结论已婚妇女发生妇科病的风险较高;常见妇科病有阴道炎、宫颈上皮内瘤变等,危险因素相对复杂,应加强对30~50岁已婚妇女的管理,采取有效预防保健措施,以降低妇科病发生率。Objective To analyze common gynecological diseases of married women and explore preventive and health measures.Methods The paper chose 1025 married women with gynecological disease screening in outpatient department of the hospital from January to December 2022,252 confirmed gynecological diseases were included in observation group,and the remaining 773 healthy individuals in control group.Detection of gynecological diseases and risk factors were analyzed.Screening results of gynecological diseases showed,common gynecological diseases were vaginitis,cervical intrauterine neoplasia,uterine fibroids,ovarian cysts,menstrual disorders/dysmenorrhea,with cases of 98,39,30,19,42,and other gynecological diseases were 24 cases.Onset age analysis showed,gynecological diseases were common for 40-49 age group,menstrual disorders and dysmenorrhea were common for 20-30 age group.There was significant difference between observation group and control group in terms of educational level,history of childbirth,external genital cleaning,menstrual sexual history,frequency of sexual activity,occurrence of external genital symptoms,poor immune system,and respiratory infections,(P<0.05).Multivariate analysis showed,age≥40,educational level,lack of cleaning during sexual intercourse,and timely medical treatment for external genital symptoms were independent risk factors(P<0.05).Conclusion Married women have high risks of gynecological diseases,common gynecological diseases include vaginitis,cervical intraepithelial neoplasia,and etc,which are relatively complicated.Therefore,it is necessary to strengthen management of married women aged 30-50 and take effective preventive and health measures to reduce incidence of gynecological diseases.

关 键 词：已婚妇女 妇科病 预防保健措施 

分 类 号：R173[医药卫生—妇幼卫生保健]