内蒙古自治区已婚育龄妇女生殖系统相关疾病现状调查

目的:了解内蒙古地区已婚育龄妇女生殖系统疾病患病状况,探讨干预措施。方法:采用集中抽样调查方法,在全区12个盟(市)的24个苏木、乡镇、街道,抽取18～49岁已婚育龄妇女29 506例进行盆腔、乳腺及实验室检查。结果:调查对象生殖系统相关疾病的平均患病率为45.6%,城区、农区、牧区分别为44.1%、43.7%、57.2%。生殖道感染、乳腺疾病、女性不孕症的患病率分别为45.55%、11.16%、1.01%。不孕症患病率在农区、城区、牧区依次递减且差异显著。患病率位居前3位的疾病为宫颈炎(18.32%)、阴道炎(15.03%)、乳腺增生(10.63%)。结论:内蒙古自治区已婚育龄妇女生殖系统疾病患病率较高,可能与多种因素有关。建议相关部门采取综合干预措施,结合本区多民族、经济水平、发病特点积极开展生殖健康普查普治工作,规范并强化医疗技术服务,提高服务可及性。

Current status of reproductive system diseases among married women at reproductive age in Inner Mongolian Autonomous Region

Objective ： To explore the category and causes of reproductive system diseases among married women at reproduc- tive age, and find ways to reduce the prevalence of diseases in Inner Mongolia. Methods： With a c, luster sampling, 29 506 married women aged 18 to 49 were recruited in 12 cities of Inner Mongolian Autonomous Region. A questionnaire survey as well as pelvic and breast examination, and laboratory examination were conducted. Results ： The prevalence rate of reproductive system diseases was 45.6% （ City： 44.1% ; Rural： 43.7% ; Pasturing area： 57.2% ）. The prevalence rates of reproductive tract infection, breast diseases and female infertility were 45.55%, 11.16% and 1.01%, respectively. The prevalence rate of female infertility decreased from rural, city to pasturing area. As far as the category was concerned, the top three kinds of diseases were cervical erosion （ 18.32% ）, vaginitis （ 15.03% ）, cyclomastopathy （ 10.63% ）. Conclusion： The prevalence rate of reproductive system diseases among married women is higher in Inner Mongolia, and many factors may contribute to it. A series of intervention measures should be developed to improve reproductive health of married women at reproductive age.