避孕节育服务与生殖道感染防治相结合的探索  

Research on Contraceptive Services Combining RTI Prevention

作　　者：李瑛[1] 张春延 李亮[3] 杨明明[1] 华晓梅 吴玉璘[1] 周健[1] 顾晓萍[1] 陈树昶[3] 潘丽[1] 汪宁[4] 

机构地区：[1]江苏省计划生育科学技术研究所,南京210036 [2]江苏省计划生育委员会 [3]东南大学公共卫生学院 [4]中国疾病控制中心性病艾滋病预防控制中心

出　　处：《中国计划生育学杂志》2004年第2期91-95,共5页Chinese Journal of Family Planning

基　　金：国家"十五"科技攻关计划基金(2002BA709B06);江苏省计划生育委员会资助项目"避孕节育不良反应监测与防治"

摘　　要：目的:利用避孕节育随访服务探讨育龄妇女生殖道感染(RTI)的影响因素。方法:对2002年9～11月接受计划生育随访服务的13066名育龄妇女进行妇科检查和RTI的病原体实验室筛查。结果:RTI总检出率为52.72％,其中患1种病症占39.95％,2种占11.68％,3种及以上占1.09％。在宫内节育器(IUD)使用者62.63％有RTI临床症状。未有症状者中,分泌物异常或下腹痛出现率为11.41％。上述病症的发生率苏北地区明显高于苏南地区。RTI影响因素分别为初婚年龄、职业、文化程度、孕次、活产数、人工流产数和避孕方法。结论:江苏省RTI的流行有明显的地区差异,不同地区的危险因素和保护因素各不相同。提示避孕节育随访服务对重点人群进行RTI监测与防治即可达到较好的防治效果。Objective: To explore the influencing factors of reproductive track infection ( RTI) , integrated with the screening of symptoms, signs and the pathogens among child - bearing age women during carrying out contraceptive follow - up service. Methods: 13066 fertile women who received contraceptive follow - up service from September to November in 2002 year took gynecologic examination and pathogens of TRI labora-tory screening test. Results: The overall infection rate was 52. 72% . The infection rate for only one, two and more three kind of RTI was 39.95% , 11.69% and 1.09% , respectively. There were clinical symptoms a-mong 62. 63% of RTI patients who used IUD. The rate of parasecretion or pain in the hypogastrium was 11. 41% among women using IUD except RTI patient. Disease incidence in Subei area was significant higher than one in Sunan area. The risk factors were: the age of first marriage, occupation, education, gravidity, live parity, induced abortion and contraceptives. Conclusions: There was obvious region difference in RTI epidemic. There were different risk factors and protective factors in different region. It suggests that syn-dromic monitoring should be done for the high - risk population during contraceptive follow - up services to reach better prevention and treatment effectiveness.

关 键 词：避孕节育 生殖道感染 防治 宫内节育器 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]