已婚育龄妇女健康状况初步分析

目的了解绿春县已婚育龄妇女健康状况.方法随机抽取2006年绿春县城镇在职职工已婚育龄妇女健康体检档案400例,随机抽取2006年＂宣民会＂组织的农村已婚育龄妇女健康体检档案400例年龄23～45岁已婚妇女,常规行妇科检查、腹部B超、阴道脱落细胞、白带常规、乳房B超等检查,重点检查乳腺疾病、妇科炎性疾病（滴虫性阴道炎、霉菌性阴道炎）、子宫及附件疾病患病情况,两组进行对照.结果农村已婚育龄妇女患病人数188例,占检查人数的47%,其中妇科炎性疾病92例,占49%,子宫及附件疾病28例占15%.乳腺疾病68例,占36%.两种以上疾病同时存在的19例,占10%;而城镇在职工已婚育龄妇女患病人数167例,占检查人员的41.75%,其中妇科炎性疾病23例,占14%,子宫及附件疾病32例占19%.乳腺疾病112例,占67%。两种以上疾病同时存在的23例,占14%.结论妇科炎性疾病是威胁农村已婚育龄妇女身心健康的主要疾病,而乳腺疾病是城镇在职职工已婚育龄妇女健康的克星,妇科病普查是妇女保健工作的重要内容,是早期发现妇科疾病的重要检查.

Preliminary Analysis on the Health Status of Married Women of Child-bearing Age

Objective To investigate the health status of married women of child-bearing age in Lchun,Yunnan.Methods We selected the physical examination data of 400 rural and 400 urban married women of child-bearing age in 2006 in Lchun,Yunnan.The age of the selected married women was from 23 to 45 years. All the selected married women received routine gynecological examination,B ultra-sound inspection of abdomen and breasts,vaginal exfoliated cell examination,and rutine examination of leucorrhea.The purpose of these examinations was to screen breasts diseases,gynecological inflammatory diseases （trichomonas vaginitis and colpitis mycotica）,and the diseases of uterus and its adnexa,then we compared the morbidity of the diseases between rural and urban married women of child-bearing age.Results 188 rural married women of child-bearing age were found with gynecological diseases,accounting for 47% of the selected women. Among all the gynecological diseases in rural married women,gynecological inflammatory diseases accounted for 49% （92 cases）,the diseases of uterus and its adnexa accounted for 15% （28 cases）,breasts diseases accounted for 36% （68 cases）,an simultaneous more than two diseases accounted for 10%（19 cases）. While only 167 urban married women of child-bearing age were found with gynecological diseases,accounting for 41.75% of the selected women.Among all the gynecological diseases in urban married women,gynecological inflammatory diseases accounted for 14% （23 cases）,the diseases of uterus and its adnexa accounted for 19% （32 cases）,breasts diseases accounted for 67% （112 cases）,an simultaneous more than two diseases accounted for 14 % （23 cases）.. Conclusions Gynecological inflammatory diseases are the major diseases threatening the health of rural married women of child-bearing age,while breasts diseases are the mafor killer of urban married women of child-bearing age. Gynecological diseases screening is the key part of women health care work,and an important method to early find gynecological diseases.