2333例城市妇女绝经后生殖健康状况调查

为了解城市妇女绝经后的生殖健康问题，采用整群分层随机抽样方法在１５个省、市的１００个社区抽取 已婚绝经后妇女２ ３３３例进行问卷调查、妇科检查和实验室检查，应用ＳＰＳＳ／１０．０进行数据的统计分析。结果显示绝经 后妇女妇科常见病患病率顺序依次为生殖道感染３２．２％、盆腔肿物１．９％和子宫脱垂／阴道壁膨出１．６％。在生殖道感 染中，慢性宫颈炎占１２．９％、老年性阴道炎１２．８％、细菌性阴道病３．２％、念珠菌性阴道炎２．３％和生殖道沙眼衣原体 感染 ２．２％。有 ２１.６％的妇女近２ w有与妇科常见病有关的症状，其中 ３０． ９％的妇女到医院就医，４７．４％的妇女被诊 断为阴道炎，但治疗方法仅是应用抗生素。有４１．９％的妇女从未进行过妇女病普查普治。提示生殖道感染严重影响着 绝经后妇女的生殖健康，医务人员的治疗水平亟待提高。要重视对绝经后妇女常见病的普查普治，以提高妇女的生活质 量。

A survey on 2 333 postmenopausal urban women''''s reproductive health

Objective: To investigate postmenopausal women's reproductive health issues. Methods: This cross-sec- tional study included 2 333 postmenopausal women by multistage cluster random sampling and a structured in- terview questionnaire, gynecologic and laboratory examination was carried out. All data were analyzed using SPSS10. 0 for Windows. Results: The prevalence of reproductive tract infections (RTIs) was 32. 2%. The prevalence of pelvic tumor was 1. 9% and the prevalence of uterine/vaginal prolapse was 1. 6%. Among RTIs, prevalence of chronic cervicitis was l2. 9%; the senile vaginitis was 12. 8%; bacterial vaginitis was 3. 2%; can- didasis was 2. 3% and genital trachoma chlamydozoam infection was 2. 2%. Although 21. 6% of women suf- fered symptoms of common gynecological diseases but only 30. 9% of them went to see doctors. Among them, 47. 4% of women had been diagnosed as vaginitis and using only antibiotics as treatment. About 41. 9% of women never received gynecologic examination. Conclusion: Reproductive tract infections affect post- menopausal women's reproductive health, and professionals' skill need to be improved. Postmenopausal women's regular physical check up should be paid attention in order to raise women's quality of 1ife.