目的:对海宁市实施的“已婚育龄妇女生殖健康工程”的实效性进行评价。方法:对海宁市计划生育宣传技术指导站2009~2012年开展实施“已婚育龄妇女生殖健康工程”的育龄妇女生殖健康检查结果进行回顾性分析,并对2个周期检查结果进行对照分析。育龄妇女按体检周期分为两组:2009~2010年检查的对象为对照组,2011~2012年检查的对象为观察组。结果:1对照组总患病率为67.81%,观察组总患病率为67.62%,两组比较差异无统计学意义(P>0.05)。疾病前5位依次为:宫颈疾病患病率为36.47%,各类阴道炎症患病率为35.61%,乳腺疾病患病率为27.72%,子宫肌瘤患病率为9.39%,盆腔炎性疾病患病率为4.07%。2观察组乳腺疾病、子宫肌瘤、宫颈疾病患病率明显高于对照组,盆腔炎性疾病和各类阴道炎症患病率明显低于对照组。两组在细菌性阴道病、念珠菌性阴道炎和滴虫性阴道炎患病率方面比较,差异有统计学意义(P<0.05),对照组高于观察组。结论:1定期开展育龄妇女生殖健康检查可以及早发现各种妇科常见病、多发病,做到早诊断、早治疗,降低发病率。“已婚育龄妇女生殖健康工程”已对育龄妇女的生殖道感染有所控制,实效显著。2宫颈疾病是影响妇女生殖健康的主要疾病,患病率居各种生殖道疾病的首位。通过引进先进的检测仪器,结合宫颈癌前病变检测开展生殖健康检查作为宫颈癌的早期筛查具有重要意义。3乳腺疾病、子宫肌瘤患病率受工作、生活环境的影响比较大,两疾病呈逐年上升趋势。在生殖健康工程项目中增设乳腺彩超筛查和子宫肌瘤下腹部B超检查,做到早期发现和早期治疗,可有效地降低妇女因激素水平分泌紊乱导致的各种乳腺疾病及子宫疾病对妇女健康的威胁。 Objective: To evaluate the actual effect of “Reproductive Health Project of Married Women of childbearing age” in Haining City. Methods: Reproductive health examination results of women of childbearing age who carried out “Reproductive Health Project of Married Women of Reproductive Age” from 2009 to 2012 were retrospectively analyzed, and the control results of two cycles were compared . Women of childbearing age according to physical examination cycle is divided into two groups: the object of 2009-2010 examination for the control group, 2011-2012 examination of the object for the observation group. Results: 1 The total prevalence of the control group was 67.81%, the total prevalence of the observation group was 67.62%, there was no significant difference between the two groups (P> 0.05). The top five diseases were as follows: the prevalence of cervical disease was 36.47%, the prevalence of various types of vaginal inflammation was 35.61%, the prevalence of breast disease was 27.72%, the prevalence of uterine fibroids was 9.39%, pelvic inflammatory disease The prevalence was 4.07%. 2 observation group breast disease, uterine fibroids, cervical disease prevalence was significantly higher than the control group, pelvic inflammatory disease and various types of vaginal inflammation was significantly lower than the control group. The two groups in the prevalence of bacterial vaginosis, Candida vaginitis and trichomonas vaginitis, the difference was statistically significant (P <0.05), the control group was higher than the observation group. Conclusions: 1 Regularly carry out reproductive health examination of women of childbearing age can be found in a variety of gynecological common diseases, frequently-occurring disease, so early diagnosis and early treatment, reduce the incidence. Reproductive health project for married women of childbearing age has been to reproductive tract infections of childbearing women have been controlled, the actual effect is significant. 2 cervical disease is the main disease affecting women’s reproductive health, the prevalence of various reproductive tract diseases in the first place. Through the introduction of advanced detection equipment, combined with cervical precancerous lesions to carry out reproductive health examination as an early screening of cervical cancer is of great significance. 3 breast disease, the prevalence of uterine fibroids affected by work, living environment is relatively large, the two diseases showed an upward trend year by year. Breast enlargement screening and uterine fibroids in the reproductive health project lower abdominal ultrasound, early detection and early treatment can effectively reduce the secretion of hormones in women due to disorders caused by a variety of breast diseases and uterine diseases on women Healthy threat.