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目的:根据体检结果探讨基层医院开展妇女健康促进工程的必要性,重要性及注意事项。方法:根据《浙江省妇女健康促进工程实施方案》要求,为已婚育龄妇女每两年进行一次常见妇科疾病(仅指生殖道感染和性传播疾病)检查。并填写妇女健康促进工程表格。根据检查结果对每例异常者给予治疗指导,跟踪随防。结果:妇女病检出率为56.2%,其中妇科良性肿瘤(子宫肌瘤等)92例;宫颈糜烂Ⅱ度以上者846例,其中405例经过TCT检测,381例为炎症,ASC-US6例,HSIL4例,LSIL8例,HPV感染6例,120例普通细胞学检查,1例发现核异质细胞,其余均为炎症细胞;滴虫性阴道炎152例;霉菌性阴道炎95例;其他阴道炎237例;尖锐湿疣5例;宫颈息肉268例;盆腔炎症473例;恶性肿瘤5例(3例宫颈癌,2例卵巢癌),其他56例。除6例因自身原因无法随访外,其余皆获得详实资料。结论:只要重视宣传,处置得当,准确率高,随访及时,妇女健康促进工程能很好地开展,并能了解农村妇女的常见病,多发病,无病早防,有病早发现早治疗,有利于掌握妇女病患病资料,便于提出干预措施。
OBJECTIVE: To explore the necessity, importance and precautions of women’s health promotion projects in grass-roots hospitals based on the physical examination results. Methods: According to the requirements of “Zhejiang Province Women’s Health Promotion Project Implementation Plan”, gynecological examination of common gynecological diseases (reproductive tract infections and sexually transmitted diseases only) was conducted for married women of childbearing age every two years. And fill in the form of women’s health promotion project. According to the test results for each case of abnormal treatment given guidance, follow the anti-tracking. Results: The detection rate of women was 56.2%, including 92 cases of benign gynecologic tumors (uterine fibroids, etc); 846 cases of cervical erosion more than Ⅱ degree, of which 405 cases were tested by TCT, 381 cases were inflammation, 6 cases were ASC-US, HSIL4 Cases, 8 cases of LSIL, HPV infection in 6 cases, 120 cases of common cytology, 1 case of nuclear allograft cells, and the remaining were inflammatory cells; Trichomonas vaginitis 152 cases; Mycotic vaginitis 95 cases; Other vaginitis 237 5 cases of genital warts, 268 cases of cervical polyps, 473 cases of pelvic inflammatory disease, 5 cases of malignant tumors (3 cases of cervical cancer and 2 cases of ovarian cancer) and the other 56 cases. In addition to 6 cases because of their own reasons can not follow-up, the rest were obtained detailed information. Conclusion: As long as the publicity, the proper treatment, the high accuracy, the prompt follow-up, the women’s health promotion project can well carry out and can understand the common diseases of rural women, frequently-occurring disease, disease-free and early- Help to grasp the disease information of women and women, to facilitate the proposed intervention.