【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。更多还原

【Abstract】 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.更多还原