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目的:以“爱德”甘肃妇女病查治项目为契机,全面、系统普查全县妇女健康状况,为今后有效控制各类妇女病的发生,普遍提高该地区妇女健康水平,规范妇女病防治工作提供第一手指导性原始资料。方法:采集2005年10月～2008年10月全县17个乡(镇)18～49岁15 458例已婚妇女免费妇女病查治数据。结果:民族与各类妇女病患病率经检验差异有统计学意义(P<0.01),宫颈糜烂藏族患病率较高;不同年龄组妇女病患病率经检验有统计学差异(P<0.01),31～39岁宫颈糜烂、阴道病患病率最高。职业与妇女病(宫颈糜烂、盆腔炎、附件炎、阴道病)患病率经检验有统计学差异(P<0.01)。妇女病患病率前4位分别为:宫颈糜烂4 356例,占37.53%;细菌性、滴虫性阴道病3 149例,占27.13%;附件炎3 013例,占25.96%;盆腔炎1 028例,占8.86%。结论:建立健全常规妇女病查治工作体系,并形成长效机制,对有效降低各类妇女病发病率至关重要,是提高该地区妇女生殖健康整体水平的重要手段之一。
OBJECTIVES: Take the opportunity of “Aid” Gansu Women’s Disease Surveillance Program to comprehensively and systematically survey the health status of women in the county and effectively control the occurrence of various types of women’s diseases in the future, and generally improve the health status of women in the region and regulate the prevention and treatment of womens and disease diseases First-hand guide to the original data. Methods: A total of 15 458 married women aged from 18 to 49 in 17 townships (towns) from October 2005 to October 2008 were enrolled in this study. Results: The prevalence rate of ethnic and various types of women was statistically significant (P <0.01), and the prevalence of cervical erosion was higher in Tibetan women. The prevalence of women in different age groups was significantly different (P <0.01) , 31 ~ 39 years old cervical erosion, the highest prevalence of vaginosis. The prevalence of occupational and women’s diseases (cervical erosion, pelvic inflammatory disease, annex inflammation, vaginosis) was statistically significant (P <0.01). The top 4 women’s prevalence were: 4 356 cases of cervical erosion, accounting for 37.53%; 3 149 cases of bacterial, trichomonas vaginosis, accounting for 27.13%; 3 013 cases of annex inflammation, accounting for 25.96%; pelvic inflammatory disease 1 028 For example, accounting for 8.86%. Conclusion: Establishing and perfecting the work system of routine investigation and treatment of women’s disease and forming a long-term mechanism is very important to effectively reduce the morbidity rate of all kinds of women. It is one of the important means to improve the overall level of women’s reproductive health in the region.