目的通过对育龄妇女生殖道感染情况及干预措施的调查,了解南京地区育龄妇女生殖道感染情况和预防措施,为今后进一步开展生殖道感染防治工作提供有效方法和决策依据.方法对3540例已婚育龄妇女进行生殖道感染情况及干预措施进行调查分析.结果被调查的3540例已婚育龄女性中,患有生殖道感染共861例,患病率为24.32%.其中宫颈炎患病率最高,为12.60%,霉菌性阴道炎次之,为6.33%,第三位是细菌性阴道病,为3.19%,第四位是滴虫性阴道炎,为1.64%.宫颈炎患病率明显高于念珠菌阴道炎、细菌性阴道病、滴虫性阴道炎,进行χ2检验(χ2=81.25,215.28,321.59, P<0.01),差异具有统计学意义.结论依托计生服务网络,整合计生、卫生、妇联等优质资源,积极开展育龄妇女生殖道感染防治工作,是维护群众生殖健康权益的重要举措.开展生殖健康知识宣教,改变观念和态度,建立安全性行为,加强医患沟通,早诊断、早治疗,是降低育龄妇女生殖道感染的重要措施.% Objective Through a survey of women of reproductive tract infections and interventions to understand the women's reproductive tract infections and preventive measures in Nanjing area and to provide effective methods and decision-making basis for the further development of the prevention and control work. Methods Investigation and analysis of 3540 cases of married women of reproductive tract infection and interventions. Results There were 861 cases of reproductive tract infection with the rate of 24.32%. Cervicitis prevalence was with the top rate of 12.60%, followed by fungal vaginitis, 6.33%, bacterial vaginosis, 3.19%, and trichomonas vaginitis, 1.64%. Cervicitis prevalence was significantly higher than that of candida vaginitis, bacterial vaginosis and trichomonas vaginitis, which is a statistically significant difference withχ2 test (χ2=81.25,215.28,321.59,P<0.01). Conclusion Relying on family planning service network, integration of family planning, health, women's federations and other quality resources, it is an important measure to safeguard the people's reproductive health rights by active prevention and control work. Carrying out the mission of Reproductive health knowledge, changing the perceptions and attitudes, establishing safe sex, strengthening the doctor-patient communication, early diagnosis and early treatment are important measures to reduce women's reproductive tract infections.
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