摘要
目的了解近5年某战区女军人妇科疾病发生情况,为提高女军人妇科疾病防治水平提供依据。方法选择2008年7月—2013年7月在5家驻军医院妇科就诊的711例女军人(军人就诊组)和1060例健康体检女军人(军人健康体检组),随机选取同期地方就诊者710例(地方就诊组)和健康体检者1061例(地方健康体检组)作对照,了解妇科疾病发病情况。结果在军人和地方就诊组中发病率最高的均为炎性疾病,军人和地方健康体检组中发病率最高的均为良性肿瘤。军人就诊组月经不调发病率高于地方就诊组(P<0.05),计划外妊娠、良性肿瘤和恶性肿瘤发病率低于地方就诊组(P<0.05)。军人健康体检组月经不调发病率高于地方健康体检组(P<0.05),炎性疾病、计划外妊娠、良性肿瘤和宫颈上皮内瘤变(CIN)发病率低于地方健康体检组(P<0.05)。军人就诊组中不同年龄段妇科疾病发病率差异明显(P<0.05)。军人就诊组中鳞状上皮内病变(SIL)和宫颈鳞癌(SCC)检出率显著高于军人健康体检组,SCC检出率低于地方就诊组(P<0.05),军人健康体检组SCC检出率低于地方就诊组、地方健康体检组(P<0.05)。结论女军人生殖健康状况不容乐观,应引起高度关注;做好健康指导、定期体检和及时诊治是当前女军人妇科生殖保健的重要任务。
Objective To investigate incidence rates of gynecologic diseases of service women in recent five years so as to provide a theoretical basis for the prevention and treatment. Methods Incidence rates of 711 service women with gynecologic diseases （group A） and 1060 service women taking physical examination （group B） during July 2008 and July 2013 in 5 military hospitals were investigated, and 710 civilian patients with gynecologic diseases （group C） and 1061 healthy women taking physical examination （group D） at the same period were chosen as control group. Re- sults The highest incidence rate of gynecologic diseases was of inflammatory diseases in group A and C, and benign tumor in group B and D. The incidence rate of menoxenia in group A was significantly higher than that of group C （P 〈 0. 05） , while incidence rates of unexpected pregnancy, benign tumor and malignant neoplasm in group A were signifi- cantly lower than those of group C （P 〈 0. 05 ）. The incidence rate of menoxenia in group B was significantly higher than that of group D （ P 〈 0. 05 ） , and incidence rates of inflammatory diseases, unexpected pregnancy, benign tumor and cer- vical intraepithelial neoplasia （CIN） in group B were significantly lower than those of group D （P 〈 0.05）. In group A, there were significant differences in incidence rate of gynecologic diseases at different ages （P 〈 0.05）. The detection rates of squamous intraepithelial lesion （SIL） and squamous carcinoma of the cervix （SCC） in group A were significantly higher than those of group B, and the detection rate of SCC in group A was significantly lower than that of group C （P 〈 0.05）. The detection rates of SCC in group B were significantly lower than that of group C and D （P 〈 0. 05 ）. Conclu- sion Status of reproductive health in service women is not encouraging, so health guidance, regular physical examina- tion, timely diagnosis and treatment and health guidance are important in reproductive health care for the PLA service women in current circumstances.
出处
《解放军医药杂志》
CAS
2014年第2期96-99,共4页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
济南军区联勤部计划课题(CJN10L084)
关键词
军事人员
女性
生殖器疾病
女性
宫颈液基细胞学
人乳头状瘤病毒
Military personnel
Female
Genitalia disease, female
Cervix liquid based cytology
Human pap-illoma virus
