發(fā)布時(shí)間：2018-04-16 01:13

  本文選題：煤礦已婚女職工 + 陰道炎　； 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:分析煤礦已婚女職工陰道炎的感染特征,探討陰道炎的影響因素,為制定疾病早期預(yù)防措施、提高女職工健康水平提供科學(xué)依據(jù)。方法:本研究選取來(lái)自晉城煤業(yè)集團(tuán)寺河煤礦2011-2014年接受健康體檢的已婚女職工為研究對(duì)象,共1711人,收到有效問(wèn)卷1564份。對(duì)煤礦已婚女職工陰道分泌物進(jìn)行快速革蘭氏染色后,在光電顯微放大器下尋找病原微生物,進(jìn)行感染特征分析。進(jìn)一步根據(jù)陰道炎的患病情況將研究對(duì)象分為病例組及對(duì)照組,分析陰道炎的相關(guān)因素。采用卡方檢驗(yàn)進(jìn)行單因素分析,選取單因素分析有統(tǒng)計(jì)學(xué)意義的影響因素進(jìn)行多因素非條件logistic回歸分析,通過(guò)計(jì)算OR及其可信區(qū)間(95%CI),衡量影響因素與疾病之間關(guān)聯(lián)程度大小。選定P0.05為差異有統(tǒng)計(jì)學(xué)意義。結(jié)果:1.1564名煤礦已婚女職工中,陰道炎患病人數(shù)為572人,患病率為36.57%。2011-2014年陰道炎的患病率分別為27.18%、29.10%、32.78%、52.25%,呈逐年上升趨勢(shì)。2.2011-2014年混合性陰道炎感染的人數(shù)最多,構(gòu)成比分別為42.04%、37.86%、42.33%、41.80%。滴蟲(chóng)性陰道炎感染人數(shù)最少,外陰陰道假絲酵母菌病的構(gòu)成比逐年下降,分別為18.18%、27.18%、16.79%、15.98%。陰道炎的臨床表現(xiàn)中有39.69%的患者有分泌物異味、24.30%的患者有陰道灼痛感,17.83%的患者有外陰瘙癢,白帶增多的患者有18.18%,可看出分泌物異味、陰道灼痛感、外陰瘙癢為陰道炎的常見(jiàn)臨床癥狀。3.煤礦女工中31-40歲組患病率最高(42.18%),已生育人群、洗煤作業(yè)人群、初中及以下文化的人群、家庭人均月收入水平較低、集體宿舍居住人群患病率較高。4.影響因素分析結(jié)果表明:年齡較低,崗位為洗煤作業(yè),文化程度低,居住環(huán)境為集體宿舍,性行為前不清洗外陰為陰道炎的危險(xiǎn)因素,每次性生活均用避孕套、使用婦科洗液每周≤3次是陰道炎的保護(hù)因素。結(jié)論:1.煤礦已婚女職工陰道炎患病率為36.57%,2011-2014年呈逐年上升趨勢(shì)。2.混合性陰道炎感染人數(shù)最多,滴蟲(chóng)性陰道炎感染人數(shù)最少。陰道分泌物異味、陰道灼痛感、外陰瘙癢為陰道炎的主要臨床癥狀。3.31-40歲人群患病率最高,洗煤作業(yè)的人群較其他崗位的人群患病率高,初中及以下文化的人群陰道炎的患病率高,居住家庭的人群較居住宿舍的人群患病率低。應(yīng)重點(diǎn)加強(qiáng)該人群的健康教育,提高其衛(wèi)生保健意識(shí)。4.每次都用避孕套、使用婦科洗液每周≤3次是陰道炎的保護(hù)因素,而年齡低于40歲,洗煤作業(yè)女工,文化程度低,居住環(huán)境為集體宿舍,性行為前不清洗外陰為陰道炎的危險(xiǎn)因素。建議相關(guān)衛(wèi)生部門(mén)盡可能地宣傳正確的陰道炎防治知識(shí),使得廣大女職工能夠提前預(yù)防,降低陰道炎患病率。
[Abstract]:Objective: to analyze the characteristics of vaginitis infection in married female workers in coal mines and to explore the influencing factors of vaginitis so as to provide scientific basis for the early prevention of diseases and the improvement of health level of female workers.Methods: a total of 1711 married female workers from Sihe Coal Mine of Jincheng Coal Industry Group received 1564 valid questionnaires from 2011 to 2014.After rapid Gram staining of vaginal secretions of married female workers in coal mines, the pathogenic microbes were searched under the photoelectric microamplifier and the infection characteristics were analyzed.According to the prevalence of vaginitis, the subjects were divided into two groups: the case group and the control group, and the related factors of vaginitis were analyzed.Single factor analysis was carried out by chi-square test and multivariate conditional logistic regression analysis was carried out by selecting the influencing factors which were statistically significant in single factor analysis. By calculating OR and its confidence interval, the correlation degree between influencing factors and disease was measured.The choice of P0.05 as the difference was statistically significant.Results among the 1. 1564 married female coal mine workers, 572 were vaginitis, and the prevalence of vaginitis was 36.57.2011-2014. The prevalence of vaginitis was 27.180.29.10100.7832.7832.782.25. the number of mixed vaginitis in 2011-2014 was the highest, the constituent ratio was 42.0437.866.860.The component ratio was 42.047.8686 and 42.3351.80.Trichomonas vaginitis infection was the least, and the composition ratio of vulvovaginal candidiasis decreased year by year, which was 18.187.18 and 16.79% 15.98, respectively.In the clinical manifestations of vaginitis, 39.69% of the patients had secretions, 24.30% had vaginal burning pain, 17.83% had vulvar itching, and 18.18% had increased leucorrhea.Pruritus vulva is the common clinical symptom of vaginitis.The prevalence rate of female workers aged 31-40 was the highest (42.18%). The average monthly income level of families was lower and the prevalence rate of dormitory residents was higher than that of the population with childbearing, coal washing, junior middle school and lower education.The results of influencing factors analysis showed that: the age was lower, the job was coal washing, the education level was low, the living environment was collective dormitory, the risk factor of vaginitis was not cleaning vulva before sex, and condoms were used in every sexual life.Using gynecological lotion 鈮，

本文編號(hào)：1756638