【摘要】 目的了解百色市妇女生殖道感染及影响因素。方法对我院妇产科门诊8398例就诊患者(门诊组)和8309例健康体检者(体检组)进行问卷调查、妇科检查和有关实验室检查。结果(1)患病率:门诊组生殖道感染患病率82.6%(6939/8398),其中31.8%(2670/8398)的妇女患有两种或两种以上生殖道感染疾病;体检组患病率为19.93%(1656/8309),患两种以上感染疾病仅占2.1%(176/8309),两组患病率比较差异有统计学意义(P<0.001)。(2)感染的特点:门诊组以≤35岁妇女感染率最高,占50.4%(4230/8398),其余依次为36~45岁妇女(20.3%)和>45岁妇女(11.9%),≤35岁妇女宫颈炎、衣原体/支原体感染、细菌性阴道病、念珠菌性阴道炎、附件炎的患病率明显高于36~45岁及>45岁的妇女(P均<0.01);不同职业的患病率以农民居多,占31.0%(2603/8398),其中外出打工农民占患病率的70.4%(1832/2603)。(3)影响因素:经多因素Logistic回归分析,年龄、职业、生殖道感染史、人流次数、清洗外阴的时间间隔等成为生殖道感染的危险因素。结论百色妇女人群生殖道感染患病率较高,应积极开展生殖健康普查和普治工作,针对妇女生殖道感染的影响因素进行有效的预防和干预。更多还原

【Abstract】 Objective To investigate the prevalence of reproductive tract infections(RTI) in women in Baise city,and to analyze the influencing factors in RTI.Methods A questionnaire survey was conducted in 8398 outpatients and 8309 healthy women.So did the gynecological examination and laboratory tests.Statistical analysis was performed.Results (1)Incidence:The incidence of RTI in outpatients group was 82.6% (6 939/8 398).Among them,31.8%(2 670/8 398) of women suffered from two or more RTI diseases;and the prevalence rate of RTI in healthy group was 19.93% (1 656/8 309),2.1% (176/8 309) of women suffered from two or more infection diseases.(2)Infection characteristics:In outpatients group,the highest incidence of RTI occurred in female at the age ≤35(50.4%),and then at the age ≤35(20.3%) and >45 (11.9%),and the incidence of cervictis,chlamydia/mycoplasma,bacterial vaginosis,candida and annexitis in female at the age ≤35 were much higher than those in female at the age ≤35 and >45(P<0.01).The incidence of farmers was the highest in outpatients group(31.0%,2 603/8 398),70.4%(1 832/2 603) of which were migrant peasant workers.(3)Influential factors:Risk or influential factors to female RTI included age,occupational characteristics,history of RTI,times of abortion,the interval of washing vulva.Conclusion For the prevalence rate of RTI in Baise women is high,mass treatment and screening should be conducted to carry out effective prevention and control on RTI according to its influential factors.更多还原