摘要
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。
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.
出处
《中国妇幼保健》
CAS
2001年第10期616-617,共2页
Maternal and Child Health Care of China
关键词
绝经后
妇女
生殖道感染
预防
Postmenopausal Women Reproductive tract infections
Pelvic tumor Uterine/vaginal prolapse
