计划生育门诊人流妇女性传播疾病的流行病学调查及防治对策

目的:进行计划生育门诊人流妇女性传播疾病的流行病学调查,并探讨其积极有效的防治对策.方法:选择从2009年1月至2012年12月于计划生育门诊做人工流产的1245例妇女进行妇科检查及问卷调查,并对患者的阴道和宫颈管标本进行病原体检测.同时取静脉血做梅毒血清和HIV检测.观察各种性传播疾病的发病情况并对危险因素进行统计学变量分析.结果:调查中1245例人工流产妇女,感染性病的有436例,约占35.02％；各种性病种类中,衣原体感染患者居多达46.10％,其次是非淋茵性尿道炎患者38.99％,淋病和尖锐湿疣的患者比率也较高,分别为7.11％和4.59％.性病患者的临床常见症状仍然存在意义,下腹痛、瘙痒、分泌物异常的出现仍然提示性病的可能.总体各种性病人群中流动人口分布人群较多,流动人口构成比达68.58％,明显高于非流动人口的31.42％,差异有统计学意义(P＜0.05).且在研究中发现文化程度＜5年、首次性交年龄＜18岁、2个以上性伴侣、既往生殖道感染、流产次数＞2次、避孕套避孕等与性病的发生有很强的相关性.结论:计划生育门诊人流妇女是值得关注的一个群体.性传播疾病的发生情况与多种因素有相关性,需要有针对性的实施防治措施,提高人群健康.

Epidemiological study and prevention measures of STD in women receiving abortion in family planning clinics

Objectives： To analyze the prevalence of STD in the population of women receiving abortion in family planning clinics from an epidemiological perspective and to provide effective prevention countermeasures. Methods ： From May 2011 to De- cember 2012, 1245 cases of women conducted abortion in family planning clinics were selected and given gynecological examina- tion including patient＇ s vaginal and cervical specimens for pathogen detection and venous blood for syphilis serum and HIV tes- ting. Results： 436 out of 1245 cases, accounting for 35.02%, were infected with STDs; chlamydia infection patients accounted for 46.10%, followed by non - gonococcal urethritis 38.99%, gonorrhea 7. 11% and genital warts 4. 59%. In diagnosis of STDS, common clinical symptoms are still significant： lower abdominal pain, itching, secretions abnormality still prompted STDs. The infection rate in floating population was 68.58%, taking up a higher percentage in overall STDs population, and was significantly higher than permanent residents＇ rate of 31.42%. This difference was statistically significance （ P 〈 0. 05 ）. The study also found that education and other factors play significant role in the prevention of STDs. Conclusions ： Women receiving abortion at family planning clinics are a high - risk group in terms of STDs. The occurrences of STDs are correlated with various factors. The improvement of the health in this population requires targeted prevention and controls.