本文關(guān)鍵詞：安徽省淮南市農(nóng)村已婚育齡婦女生殖道感染現(xiàn)狀及相關(guān)因素研究　出處：《安徽醫(yī)科大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的描述安徽省淮南市農(nóng)村已婚育齡婦女常見RTIs（Reproductive TractInfections）的疾病譜及其流行現(xiàn)狀，了解安徽省淮南市患有RTI疾病的農(nóng)村已婚育齡婦女的特點(diǎn)，探討農(nóng)村已婚育齡婦女的引起RTI癥狀的相關(guān)因素。 方法本研究在保證市級(jí)樣本代表性和實(shí)施可行性的基礎(chǔ)上，采取分層整群抽樣方法，共抽取3193名18-49歲農(nóng)村已婚育齡婦女作為研究對(duì)象。組織縣一級(jí)人員對(duì)抽取的調(diào)查對(duì)象進(jìn)行登記造冊(cè)，在調(diào)查對(duì)象知情同意和保密的原則下，采用先集中和后入戶的調(diào)查方式進(jìn)行問卷調(diào)查和婦科檢查；調(diào)查方案的設(shè)計(jì)和檢測(cè)項(xiàng)目的確定經(jīng)流行病學(xué)和婦產(chǎn)科專家共同論證，并進(jìn)行了預(yù)試驗(yàn)；生殖道感染診斷和分類標(biāo)準(zhǔn)依照ICD-9及第六版《婦產(chǎn)科學(xué)》。使用EpiData3.1軟件錄入數(shù)據(jù)和校驗(yàn)，采用SPSS10.0軟件完成統(tǒng)計(jì)分析。以α=0.05為顯著性水準(zhǔn)，單因素分析采用χ2檢驗(yàn)，多因素分析采用logistic回歸分析調(diào)整可能混雜因素后，列出OR值和95%可信區(qū)間。 結(jié)果3193名婦女中，RTI總的患病人數(shù)為2246人（70.3%），1088人（34.1%）至少患有一種生殖道感染，967人（30.3%）同時(shí)患有兩種生殖道感染，187人（5.9%）患有三種及以上生殖道感染。其中前五位依次為：慢性宮頸炎2217（66.3%），細(xì)菌性陰道炎352人（11.0%）、念珠菌性陰道炎85人（2.7%）、滴蟲性陰道炎37人（1.2%）以及盆腔炎18人（0.6%）。 多因素logistic回歸分析結(jié)果顯示：已婚婦女總生育次數(shù)越多、冬天洗澡間隔時(shí)間越長(zhǎng)、農(nóng)村已婚婦女家庭平均年收入越高是罹患RTI的影響因素。其中總生育次數(shù)越多（OR=1.263，95%CI：1.081-1.476）、冬天洗澡間隔時(shí)間越長(zhǎng)（OR=1.479，95%CI：1.244-1.417）為患RTI的危險(xiǎn)因素；家庭年均收入越高（OR=0.848，，95%CI：0.755-0.953）為患RTI的保護(hù)因素。 結(jié)論安徽省淮南市農(nóng)村已婚育齡婦女生殖道感染的患病率高且癥狀多。應(yīng)大力開展有針對(duì)性的健康教育和婦科普查，提高RTI診治率，提高農(nóng)村已婚育齡婦女的生活質(zhì)量。
[Abstract]:Objective to describe the prevalence of common RTIs(Reproductive tracts infections in rural married women of childbearing age in Huainan, Anhui Province. To understand the characteristics of married women of childbearing age with RTI disease in Huainan City Anhui Province and to explore the related factors of RTI symptoms among married women of childbearing age in rural areas. Methods the method of stratified cluster sampling was adopted on the basis of ensuring the representativeness and feasibility of city level samples. A total of 3193 rural married women of childbearing age aged 18-49 years were selected as the research objects. The county level personnel were organized to register the selected subjects under the principle of informed consent and confidentiality. Questionnaire survey and gynecological examination were carried out by means of centralized and later household survey. The design of the investigation program and the determination of the test project were demonstrated jointly by the experts in epidemiology and obstetrics and gynecology, and pre-test was carried out; The diagnostic and classification criteria for genital tract infections were based on ICD-9 and the sixth edition of Obstetrics and Gynecology. Data were recorded and verified by EpiData3.1 software. SPSS10.0 software was used to complete the statistical analysis. The significant level was 偽 0. 05, and 蠂 2 test was used for single factor analysis. Multivariate analysis using logistic regression analysis adjusted possible confounding factors, OR value and 95% confidence interval were listed. Results the total number of RTI patients of 3193 women was 2246 / 70.33 / 1088 / 34.1) with at least one type of reproductive tract infection. 967 (30.3%) have two types of reproductive tract infections at the same time. The first five were chronic cervicitis (22171766.3) and bacterial vaginitis (352 / 11.0). Candida vaginitis (85), trichomonal vaginitis (37) and pelvic inflammation (18). The results of multivariate logistic regression analysis showed that the more married women had more births, the longer the interval between baths in winter was. The higher the average annual income of married women in rural areas was, the higher the incidence of RTI was, and the more the total number of births was 1.263 95 CI: 1.081-1.476). The longer the interval between baths in winter was 1.479 / 95 CI: 1.244-1.417) as the risk factor for RTI; The higher the average income per family is, the higher the average income is, 0.848% 95% CI: 0.755-0.953) is the protective factor of RTI. Conclusion the prevalence of reproductive tract infection among married women of childbearing age in Huainan City Anhui Province is high and the symptoms are many. It is necessary to carry out health education and gynecological survey to improve the diagnosis and treatment rate of RTI. Improve the quality of life of married women of childbearing age in rural areas.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R173

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本文編號(hào)：1434348