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[目的]了解永定县影响妇女健康的主要疾病及相关因素,探讨防治重点,提出干预措施。[方法]统一制订妇科常见疾病筛查卡和登记本,对历年普查年报表和2000—2008年的普查情况进行回顾性分析。[结果]共普查8556人,普查率62.1%。患妇科疾病前4位依次为宫颈炎(32.8%)、乳腺增生(23.3%)、阴道炎(4.4%)和子宫肌瘤(3.1%)。宫颈炎和乳腺增生在低年龄组的患病率明显高于高年龄组;子宫肌瘤和宫颈癌在高年龄组患病率高。[结论]妇科普查率相对偏低,常见病以宫颈炎为主,乳腺增生性疾病与子宫肌瘤有上升趋势。在开展妇科病普查的同时,应积极开展健康教育,针对影响妇女健康的相关因素采取干预措施,提高妇女健康水平和生存质量。
[Objective] To understand the main diseases affecting women’s health in Yongding County and related factors, explore the key points of prevention and treatment and put forward the intervention measures. [Methods] The common screening cards and registers of gynecological common diseases were formulated uniformly. The census annual reports and censuses of 2000-2008 were retrospectively analyzed. [Results] A total of 8556 people surveyed, the census rate of 62.1%. The top 4 gynecological diseases were cervicitis (32.8%), mammary gland hyperplasia (23.3%), vaginitis (4.4%) and uterine fibroids (3.1%). Cervicitis and breast hyperplasia in the low-age group was significantly higher than the prevalence of high-age group; uterine fibroids and cervical cancer in the high-prevalence group. [Conclusion] The gynecological census rate is relatively low, the common diseases are cervicitis, and the proliferative diseases of breast and uterine fibroids are on the rise. At the same time of carrying out the general survey of gynecological diseases, health education should be actively carried out and interventions should be taken on the factors affecting the health of women so as to improve their health and quality of life.