2005年-2010年连州市女性淋病流行病学分析

目的:了解连州市女性淋病的流行状况,为今后制定女性淋病防治策略提供科学依据。方法:对国家疾病监测信息报告管理系统中女性淋病相关数据用描述性流行病学方法进行分析。结果:2005—2010年连州市共报告女性淋病93例,年发病率介于2.86/10万～12.18/10万之间,年均发病率为7.16/10万。高发年龄为20—29岁组,共报告38例,占报告病例总数的40.86%。职业以农民为主,共报告69例,占报告病例总数的74.19%。地区分布以连州镇报告病例最多,共报告23例,占报告病例总数的24.73%。结论:针对连州市女性淋病疫情情况,建议加强健康教育力度、加强对医务人员专业知识培训及政府各部门各司其职,阻断淋病的蔓延。     

700例女性梅毒和淋病流行病学分析

目的：了解女性梅毒、淋病流行特征。方法：对参照卫生部发布的《淋病、梅毒诊断标准》确诊的700例女性梅毒、淋病病例进行流行病学分析。结果：梅毒和淋病好发于20～39岁、初中文化程度的妇女,职业以家务及待业为主,非婚性传染为主要传染因素。结论：加强妇女保健,建立建全健康教育网络,相关部门大力积极开展性病防治工作,是预防和控制女性梅毒、淋病等性病的重要措施。     

女性生殖器淋病的诊断及治疗进展

女性生殖器淋病的诊断及治疗进展湖南医科大学附属二院（４１００１１）张琼英淋病在世界广泛流行，是目前性传播疾病中发病率最高的一种。近年来，我国性传播疾病中也以淋病为最多。淋病是由淋球菌所致的泌尿生殖系统化脓性炎性疾病，为革兰阴性双球菌，属奈瑟氏菌属，对...     

辽宁地区成年女性尿失禁流行病学研究

目的:调查辽宁地区成年女性尿失禁的患病率,探索相关的影响因素,掌握辽宁省女性尿失禁的现状及发展趋势。方法:以具有辽宁地区户籍或固定居住在当地10年以上的成年女性(年龄≥18岁)为研究对象;按整群多级随机抽样原则,抽取4000人为调查对象,以女性下尿路症状国际尿失禁标准问卷予以调整后进行现场调查。结果:问卷回收率100%,共获得有效问卷3884份,有效率97.1%。辽宁地区成年女性尿失禁患病率21.9%(851/3884),其中压力性尿失禁、急迫性尿失禁和混合性尿失禁的患病率分别为16.9%(658/3884)、1.8%(71/3884)和3.0%(116/3884)。各类型尿失禁患病率趋势随着年龄增加而增加,绝经后期(58～68岁)达到高峰,68岁以后有所下降。多因素Lo-gistic回归表明:年龄、体重指数、重体力劳动、慢性盆腔痛、孕产史、新生儿体重是辽宁地区成年女性尿失禁发生的影响因素。结论;辽宁地区成年女性尿失禁患病率较高。且以压力性尿失禁为主,是影响女性生活质量的主要疾病。年龄、体重指数高、重体力劳动、慢性盆腔痛、孕产史、新生儿体重是辽宁地区成年女性尿失禁发生的危险因素。     

龙井市2000-2010年流行性出血热流行病学资料分析

目的：为更好地了解和掌握2000-2010年龙井市流行性出血热流行特征和规律,预测疫情的流行趋势,为及时采取有效预防控制措施提供科学依据。方法：对2000-2010年龙井市疾病预防控制中心法定报告传染病订正后年报表中流行性出血热疫情资料进行描述性统计分析,选取村庄住户和野外设置捕鼠夹,计算鼠类种群和鼠密度,采用常规免疫荧光方法检测病人和健康人血清流行性出血热抗IgG。结果：我市自1995年发现首例流行性出血热病人以来,疫区范围不断扩大,发病率逐年上升。2000年形成第一个高峰,发病率高达22.08/10万,2004年形成第二个高峰,发病率为16.17/10万,至2010年全市累计发病329例,年平均发病率为12.35/10万。2000-2010年间,平均鼠密度为7.98%,褐家鼠为本市优势鼠种。结论：我市流行性出血热疫情有明显的季节性,每年的11～12月为发病高峰期。2002年开始,在每年的3-5月间发病逐渐增加,形成另一个高峰;鼠密度较高,带毒率逐年上升;疫源地逐年扩大[1-3];健康人群隐性感染率低。     

女性尿失禁流行病学研究和治疗进展

尿失禁是妇女常见疾患。据估计,全世界已逾数千万妇女患尿失禁,发病率随年龄的增加而升高。且具有发展快、数量大的特征,影响妇女生活质量和身心健康,给家庭和社会带来沉重负担。国际妇科泌尿学会(International Urogynecology Association,IUA)于1976年召开了首届尿失禁研讨大会。20余年来,妇科泌尿学(urogynecology)理论日臻完善,专家队伍也正在壮大,并已成为学科交叉和发展的一     

2010～2013年大连市手足口病28479例分析

目的了解2010~2013年大连市手足口病流行病学特征及病原特点。方法对2010年1月至2013年12月大连市儿童医院诊治的手足口病28 479例进行临床资料分析。临床重症患儿粪便或咽拭子送检,主要检测EV71和CA16两种病原。观察各月份手足口病的发病情况,手足口病住院病例时间分布,手足口病重症病例时间分布,手足口病重症患儿肠道病毒检测结果。结果以2012年最多,为7 587例。每年5月份开始增多,尤其每年6~8月期间发病人数占全年的73.97%~83.73%,2010~2012年高峰为7月份,而2013年为8月份,9月份明显下降。结论 2010年手足口病重症最多与EV71感染相关;2012年手足口病患病病例数量最大,可能与CA16感染相关;2013年不典型手足口病例多,且发病高峰从2010~2012年的7月份后移至8月份,可能与CA6感染相关。     

2005年～2010年塔城地区孕产妇死亡原因分析

目的：通过孕产妇死亡资料分析,建立有效干预措施,降低孕产妇死亡率。方法：对塔城地区2005～2010年孕产妇死亡资料进行回顾性分析。结果：塔城地区2005～2010年孕产妇死亡50例,前三位死亡分别是产科出血35例,占70%,合并心脏病4例,占8%,合并肝病3例,占6%。可避免死亡19例,占38%,创造条件可避免25例,占50%,不可避免死亡5例,占10%。结论：加强业务人员培训,做好孕产期保健服务,加强健康教育,提高孕产妇自我保健意识,建立有效干预措施,保障母婴安全。     

输卵管性不孕与沙眼衣原体、淋病双球菌及解脲脲原体感染的关系

输卵管性不孕与沙眼衣原体、淋病双球菌及解脲脲原体感染的关系陆静梁占光韩字研国内针对沙眼衣原体（ＣＴ）、解脲脲原体（ＵＵ）对不孕影响的研究大多数是基于血清学或对宫颈感染的调查，而输卵管感染是导致不孕的一个重要原因，本研究应用多聚酶链反应（ＰＣＲ）法对不...     

Infertility from female circumcision

OBJECTIVE: To present a case report of a patient with primary infertility from female circumcision, the management of the patient, and a review of the literature. DESIGN: Case report and literature review. SETTING: University hospital. PATIENT(S): A 31-year-old woman referred for a history of primary infertility. INTERVENTION(S): Complete history and physical exam of the patient and subsequent deinfibulation. MAIN OUTCOME MEASURE(S): Diagnosis, surgical management, and postoperative sexual function and pregnancy. RESULT(S): Resolution of dyspareunia, satisfactory postoperative sexual function, and pregnancy. CONCLUSION(S): Awareness of this type of female circumcision and familiarity with its surgical management may prevent delays and any subsequent complications.     

Prader 5型女性假两性畸形矫治术18例分析

目的探讨Prader5型女性假两性畸形的畸形特征与矫治方法。方法对1994年5月至2004年8月阜阳市人民医院收治的18例Prader5型女性假两性畸形患者进行研究,在观察畸形特征的基础上,设计并实施矫治手术,进而对手术效果进行前瞻性研究。结果Prader5型女性假两性畸形有4大畸形特征;针对畸形特征,对18例患者实施了手术矫治,效果满意;首次提出对女性假两性畸形的手术分度诊断。结论根据畸形特征设计的Prader5型女性假两性畸形矫治手术新颖、科学、操作简单、对患者损伤小,效果好,值得推广;手术分度诊断对女性假两性畸形的畸形程度和手术难易的判断及术后康复指导有一定意义。     

Epidemiological and gynecological correlates with female genital mutilation among Beni-Suef University students; cross sectional study

Objective

This study aims to evaluate the prevalence of FGM/C among university students in Beni-Suef, Egypt and detect the possible socio-demographic and gynaecological associations.

Prevalence and characteristics of female sexual dysfunction in a sample of women from Upper Egypt

Objective

To study the prevalence and associated risk factors for female sexual dysfunction (FSD) in Upper Egypt.

Methods

Married women attending the outpatient clinic of Sohag University Hospital between February 2008 and March 2009 were recruited. Through direct interviews, each woman completed a questionnaire that included questions on sexual dysfunction.

Results

From 648 recruited patients, 47 declined to participate in the study. Of the 601 remaining participants, 462 women (76.9%) reported 1 or more sexual problems. Low sexual desire was the most common sexual problem (66.4%). Patients with FSD were significantly more likely to be older than 40 years, have sexual intercourse fewer than 3 times a week, have been married for 10 years or more, have 5 children or more, be circumcised, have a husband aged 40 years or more, and be postmenopausal. Age of the women maintained a statistically significant positive relationship with FSD in the regression model (odds ratio 1.39; 95% CI, 1.26-1.53).

Conclusions

There was a high prevalence of FSD in this sample of women from Upper Egypt. The prevalence of sexual problems increased with increasing age of the women.     

Missed opportunities for diagnosis of female genital mutilation

Objective

To investigate missed opportunities for diagnosing female genital mutilation (FGM) at an obstetrics and gynecology (OB/GYN) department in Switzerland.

Methods

In a retrospective study, we included 129 consecutive women with FGM who attended the FGM outpatient clinic at the Department of Gynecology and Obstetrics at the University Hospitals of Geneva between 2010 and 2012. The medical files of all women who had undergone at least 1 previous gynecologic exam performed by an OB/GYN doctor or a midwife at the study institution were reviewed. The type of FGM reported in the files was considered correct if it corresponded to that reported by the specialized gynecologist at the FGM clinic, according to WHO classification.

Results

In 48 (37.2%) cases, FGM was not mentioned in the medical file. In 34 (26.4%) women, the diagnosis was correct. FGM was identified but erroneously classified in 28 (21.7%) cases. There were no factors (women’s characteristics or FGM type) associated with missed diagnosis.

Conclusion

Opportunities to identify FGM are frequently missed. Measures should be taken to improve FGM diagnosis and care.     

女性生殖道感染中多种病原体的交互作用分析

目的了解育龄妇女生殖道感染（RTI）者中相关病原体的流行情况，初步探讨RTI中多种病原体的相互关系。方法对2005-03—2005-12东南大学附属中大医院354例妇科门诊育龄妇女进行妇科检查、各种RTI病原体的实验室检测以及流行病学调查。用叉生分析方法分析解脲支原体与其他病原体混合感染中的交互作用。结果生殖道解脲支原体和人型支原体的检出率分别为73．4％和47．6％；衣原体、线索细胞、假丝酵母菌和滴虫的检出率分别为17．8％、19．8％、15．9％和4％。叉生分析结果提示解脲支原体分别与衣原体、假丝酵母菌、加德纳菌等具有相乘和相加的交互作用。结论本地育龄妇女支原体的检出率较高，解脲支原体与女性生殖道其他常见病原体的混合感染对RTI的发生有协同作用。     

Patterns of female sexual dysfunction in premenopausal women with moderate to severe depression in Beni-Suef,Egypt

Background

Depression is a disease of public health concern due to its high morbidity and mortality. Female sexual dysfunction is suggested to be associated with depression. The aim of this study is to investigate the prevalence of sexual disorders among premenopausal women with moderate to severe depression and detect any further correlates.

Experiences from pregnancy and childbirth related to female genital mutilation among Eritrean immigrant women in Sweden

OBJECTIVE: to explore Eritrean immigrant women's experiences of female genital mutilation (FGM) during pregnancy, childbirth and the postpartum period. DESIGN: qualitative study using an ethnographic approach. Data were collected via tape-recorded interviews. SETTING: interviews in the Eritrean women's homes located in and around Uppsala, Sweden. PARTICIPANTS: 15 voluntary Eritrean immigrant women. DATA COLLECTION AND ANALYSIS: Semi-structured interview and open-ended questions were used. The interviews were tape-recorded, transcribed verbatim and then analysed. FINDINGS: six themes of experiences of FGM among Eritrean women during pregnancy and childbirth were identified. They are (1) fear and anxiety; (2) extreme pain and long-term complications; (3) health-care professionals' knowledge of circumcision and health-care system; (4) support from family, relatives and friends; (5) de-infibulation; and (6) decision against female circumcision of daughters. KEY CONCLUSION AND IMPLICATIONS FOR PRACTICE: the Eritrean women had experiences of FGM and had suffered from its complications during pregnancy, childbirth and the postpartum period. Midwives and obstetricians should have competence in managing women with FGM, and they need increased understanding of cultural epistemology in order to be able to provide quality care to these women. At antenatal centres, circumcised women should be advised to de-infibulate before pregnancy. Special courses about anatomical differences should be offered to these women and their husbands. It is also important to inform them about Swedish law, which prohibits all forms of FGM.