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宫颈上皮内瘤变发生的相关危险因素分析
引用本文:李莉,于红,王蓓.宫颈上皮内瘤变发生的相关危险因素分析[J].中国医药导报,2013,10(25):123-124,127.
作者姓名:李莉  于红  王蓓
作者单位:1. 江苏省疾病预防控制中心性病艾滋病防治所,江苏南京,210009
2. 东南大学附属中大医院妇产科,江苏南京,210009
3. 东南大学公共卫生学院,江苏南京,210009
摘    要:目的 调查分析宫颈上皮内瘤变(cervical intraepithelial neoplasia,CIN)发生的相关危险因素.方法 对人组的148例富颈疾病患者(包括CIN组105例和宫颈炎组43例)通过问卷调查的形式采集相关资料分析CIN发生的相关危险因素.结果 经单因素非条件Logistic回归分析,首次性生活年龄、妊娠次数、性生活频率和性生活前清洗习惯这4项因素差异有统计学意义(P<0.05);多因素非条件Logistic回归分析结果显示,妊娠次数>3次是CIN发生的危险因素(P<0.05),性生活前双方清洗阴部是CIN发生的保护因素(P<0.05).结论 加强女性的健康保健意识、性行为时积极采取安全保护措施可能会降低CIN的发生率.

关 键 词:宫颈上皮内癌变  宫颈炎  危险因素  Logistic回归

Analysis of risk factors related to the occurrence of cervical intraepithelial neoplasia
LI Li , YU Hong , WANG Bei.Analysis of risk factors related to the occurrence of cervical intraepithelial neoplasia[J].China Medical Herald,2013,10(25):123-124,127.
Authors:LI Li  YU Hong  WANG Bei
Institution:1.STD and AIDS Dispensary, Centers for Disease Control and Prevention of Jiangsu Province, Nanjing 210009, China; 2.Department of Obstetrics and Gynecology, Zhongda Hospital Affiliated to Southeast University, Jiangsu Province, Nanjing 210009, China; 3.Public Health School of Southeast University, Jiangsu Province, Nanjing 210009, China)
Abstract:Objective To survey and analyze the risk factors related to the occurrence of cervical intraepithelial neoplasia (CIN).Methods The data of 148 cases of patients with cervical disease (including 43 cases of chronic cervicitis group and 105 cases of CIN group) were collected by questionnaire to analyze the risk factors related to the occurrence of CIN.Results The results of single factor unconditional Logistic regression analysis showed that the age of first sexual life,times of pregnancy,the frequency of sexual life and cleaning habits before sexual life had statistical significance (P < 0.05).Multi-factor unconditional Logistic regression analysis showed that pregnancy more than 3 times was a risk factor of the occurrence of CIN (P < 0.05),cleaning pudenda both before sexual life was a protective factor of the occurrence of CIN (P < 0.05).Conclusion Strengthening female health care consciousness and actively taking safety precautions during sexual intercourse may reduce the incidence of CIN.
Keywords:Cervical intraepithelial neoplasia  Cervicitis  Risk factors  Logistic regression
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