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目的为研究湖北长阳土家族与汉族育龄妇女生殖健康状况,结合全国农村育龄妇女宫颈癌检查项目,长阳县对本地区目标人群进行了生殖健康流行病学调查。方法以《2008年全国农村宫颈癌早查早治方案》为蓝本(问卷、妇检、VILI、VIA检查、阴道细胞学、阴道镜、病理检查),结合流行病学调查方法。结果调查发现,长阳农村妇女慢性宫颈疾病明显高于城镇,土家族与汉族宫颈疾病及宫颈癌发病率差异无显著性;农村妇女宫颈癌发生率明显高于城镇。结论通过宫颈癌高危因素调查,长阳宫颈癌高发地有显著的地区差异(即国道经济特征显著),卫生习惯差、慢性宫颈疾病、宫颈癌差异有显著性。
Objective To study the reproductive health of Tujia nationality and Han nationality women of reproductive health in Changyang county, Hubei Province. Combined with the cervical cancer screening project of rural women of childbearing age in China, Changyang County investigated the reproductive health epidemiology of target population in this area. Methods Based on the “Early diagnosis and treatment of cervical cancer in rural areas in early 2008” (questionnaire, gynecological examination, VILI, VIA examination, vaginal cytology, colposcopy, pathological examination) and epidemiological investigation. Results The survey found that chronic cervical disease in rural women in Changyang was significantly higher than that in urban areas. There was no significant difference in the incidence of cervical cancer and cervical cancer among Tujia and Han nationalities. The incidence of cervical cancer in rural women was significantly higher than that in urban areas. Conclusion According to the investigation of risk factors of cervical cancer, Changyang cervical cancer has significant regional differences (ie, national economy characteristics are significant), poor hygiene habits, chronic cervical disease and cervical cancer.