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目的探讨慢性宫颈炎患者的发病原因及相关的危险因素。方法选取2015年1月-2016年1月在广东省深圳市妇幼保健院进行治疗的慢性宫颈炎患者100例,以及同一时期在该院进行健康体检的健康妇女120例作为研究对象,慢性宫颈炎患者作为病例组,健康体检的健康妇女作为对照组。对两组患者进行问卷调查,调查内容主要包括:受教育程度、人工流产次数、年龄、初次性生活年龄、性伴侣数、初次妊娠年龄、避孕方式等。采用病例对照研究进行慢性宫颈炎发病原因分析,多因素Logistic回归分析进行慢性宫颈炎相关危险因素分析。结果单因素分析显示,病例组人工流产次数≥3次、初次性生活年龄<18岁、性伴侣≥2个、配偶包皮过长等比例高于对照组,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,人工流产次数≥3次、初次性生活年龄<18岁、性伴侣≥2个、配偶包皮过长等是慢性宫颈炎发病的危险因素(P<0.05)。结论为预防慢性宫颈炎的发生,应加强生殖保健卫生知识宣教,女性避免过早性生活、婚前妊娠。
Objective To investigate the etiology and related risk factors of chronic cervicitis. Methods A total of 100 cases of chronic cervicitis treated in Shenzhen Maternal and Child Health Hospital from January 2015 to January 2016 were enrolled and 120 healthy women undergoing physical examination during the same period were enrolled in this study. Chronic cervicitis Patients as a case group, healthy physical examination of healthy women as a control group. The two groups of patients were surveyed, the survey mainly includes: education level, the number of abortions, age, first sex life, number of sexual partners, the age of first trimester, contraceptive methods. Case-control studies were used to analyze the causes of chronic cervicitis and multivariate logistic regression analysis was used to analyze the risk factors of chronic cervicitis. Results Univariate analysis showed that the proportion of induced abortion in the case group was ≥3 times, the first sexual life was less than 18 years old, the number of sexual partners was more than two, the length of the spleen was higher than that of the control group, the difference was statistically significant (P <0.05) . Logistic regression analysis showed that the incidence of chronic cervicitis was the risk factor of chronic cervicitis (P <0.05). The number of induced abortion ≥ 3 times, the age of first sexual life <18 years, the number of sexual partners ≥ 2, and the splenomegaly of prepuce were the risk factors. Conclusion To prevent the occurrence of chronic cervicitis, reproductive health knowledge should be strengthened, women avoid premature sex and premarital pregnancy.