论文部分内容阅读
目的:分析不同程度宫颈病变的相关危险因素。方法:于2010年9月~2012年12月间选取科室收治的274例宫颈病变患者为研究对象,回顾性分析患者的基本信息,对患者相关的宫颈病变危险因素进行分析研究。结果:经单因素分析显示,避孕措施、产次、接触性阴道出血等7个因素与宫颈病变程度相关。将宫颈炎患者分入对照组,针对宫颈癌主要的危险因素有宫颈肥大、多产历史、和较低的卫生知识知晓率多(多因素Logistic回归分析OR值分别为7.773、12.012和5.892);针对宫颈上皮内瘤变(Ⅰ~Ⅲ)主要的保护因素有接触性阴道出血、分泌物异味(多因素Logistic回归分析OR<1)。结论:针对宫颈病变的相关因素较多,因,宫颈癌的防治,要重视建立宫颈癌发现系统,及早发现癌前病变;加强人群的健康宣教工作,普及健康卫生知识,有效控制宫颈癌的发生。
Objective: To analyze the related risk factors of different degree cervical lesions. Methods: From September 2010 to December 2012, 274 cases of cervical lesions were selected as research objects. The basic information of patients was retrospectively analyzed, and the risk factors of cervical lesions were analyzed. Results: The univariate analysis showed that contraceptive measures, parity, contact vaginal bleeding and other seven factors associated with the degree of cervical lesions. The patients with cervicitis were divided into control group. The main risk factors for cervical cancer were cervical hypertrophy, prolonged history of birth, and low hygiene awareness (OR = 7.773, 12.012 and 5.892, respectively) in multivariate Logistic regression analysis. The main protective factors against cervical intraepithelial neoplasia (Ⅰ ~ Ⅲ) were contact vaginal bleeding and secretions (multivariate logistic regression analysis OR <1). Conclusion: Cervical lesions related to many factors, because of cervical cancer prevention and treatment, we must attach importance to the establishment of cervical cancer detection system, and early detection of precancerous lesions; strengthen population health mission, popularization of health knowledge, effective control of cervical cancer .