nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo journalinfonormal searchdiv searchzone qikanlogo popupnotification paper paperNew
2022, 05, v.13 38-43
新疆乌鲁木齐市妇女常见病筛查结果分析
基金项目(Foundation):
邮箱(Email): 1369554161@qq.com;
DOI: 10.19757/j.cnki.issn1674-7763.2022.05.009
发布时间: 2022-09-20
出版时间: 2022-09-20
移动端阅读
摘要:

目的 掌握2016—2020年新疆乌鲁木齐市妇女常见病筛查现状及效果,为今后乌鲁木齐市妇女常见病防治提供依据。方法 收集2016—2020年乌鲁木齐市妇幼卫生年报中妇女常见病筛查情况报表,分析全市妇女常见病筛查情况、患病变化趋势及城乡差异。结果 2016—2020年乌鲁木齐市妇女常见病年平均筛查率为56.84%;筛查率逐年提高,城市高于农村,差异有统计学意义(χ2=9.671,P <0.05)。2016—2020年乌鲁木齐市妇女常见病总患病率为45.49%;妇女常见病中的阴道炎、宫颈炎、子宫肌瘤患病率高于全自治区及全国水平;不同年份间患病率比较差异有统计学意义(χ2=17 520.12、19 934.45、5 801.25,均P <0.001)。乌鲁木齐市宫颈癌、乳腺癌、卵巢癌检出率均呈下降趋势,不同年份间宫颈癌、乳腺癌、卵巢癌检出率比较差异有统计学意义(χ2=160.21、649.46、519.00,均P <0.001)。结论 2016—2020年乌鲁木齐市妇女常见病筛查率不断提高,城乡差距逐步缩小,妇女常见病患病率、恶性肿瘤检出率显著下降。为保障筛查质量,需加强筛查数据质量控制工作和信息上报人员的指导培训,并确保对筛查结果异常的妇女采取追踪随访。

Abstract:

Objective To investigate the current status and effect of common gynecological disease screening in Urumqi, Xinjiang from 2016 to 2020, so as to provide evidence for future prevention and treatment of these diseases.Methods Common gynecological disease screening data involved in Urumqi Maternal and Child Health Annual Report were collected from 2016 to 2020.Trends of prevalence and urban-rural gap were analyzed.Results The screening rates of common gynecological diseases were increasing year by year. The average screening rate was 56. 84% in Urumqi from 2016 to 2020, and it was higher in urban area than that in rural areas(χ2 = 9. 671,P < 0. 05). The prevalence rate of common gynecological diseases in Urumqi from 2016 to 2020 was 45. 49%. Compared with the whole region and nation, the prevalence rates of vaginitis, cervicitis, and uterine fibroids were higher.The prevalence rates were different in various years(χ2 = 17 520. 12, 19 934. 45, 5 801. 25, all P < 0. 001). The detection rates of cervical cancer, breast cancer and ovarian cancer showed a downward trend in Urumqi, and they were different in various years(χ2 =160. 21, 649. 46, 519. 00, all P < 0. 001).Conclusion The screening rate of common gynecological diseases in Urumqi has been increasing from 2016 to 2020. The gap between urban and rural areas is gradually diminishing. The prevalence rate of common gynecological diseases and the detection rates of malignant tumors were decreasing significantly. To ensure the quality of screening, it is necessary to strengthen quality control of data collection and training of information reporting personnel, and to improve follow-up of women with abnormal results.

参考文献

[1]熊庆,王临虹.妇女保健学[M].2版.北京:人民卫生出版社,2014:283.

[2]王临虹,魏丽惠.妇女常见病筛查技术指南[M].北京:人民卫生出版社,2013:1.

[3] Zhao F, Wen Y, Li Y, et al. Epidemiologic and health economic evaluation of cervical cancer screening in rural China[J]. APJCP,2020,21(5):1317-1325.

[4] World Health Organization. World cancer report 2020[EB/OL].(2020-02-04)[2021-07-27].https://www.iarc.who.int/featured-news/new-world-cancer-report/.

[5] Cao W, Chen H, Yu Y, et al. Changing profiles of cancer burden worldwide and in China:a secondary analysis of the global cancer statistics 2020[J]. Chinese Med J, 2021, 134(7):783-791.

[6]国家卫生健康委员会.中国卫生健康统计年鉴[M].北京:中国协和医科大学出版社,2021.

[7]中共中央国务院.国务院关于印发中国妇女发展纲要和中国儿童发展纲要(2011—2020年)的通知(国发[2011]24号)[EB/OL].(2011-08-08)[2021-09-26].http:∥www.gov.cn/zwgk/2011-08/08/content_1920457.htm.

[8]柯珣瑜,曾晓惠. 2014—2016年厦门市妇女常见病筛查情况分析[J].中国卫生标准管理,2018(1):8-11.

[9]覃钰纯,伍洁莹.江门市郊区妇女常见病普查结果分析[J].中国妇幼保健,2013,28(16):2523-2525.

[10]李莉,杨卫平,陈莉.4 710例贫困妇女妇科疾病普查情况分析[J].中国妇幼保健,2013,28(2):223-225.

[11]农月秋,黄月风.广西龙州县边境山区4 657例农村妇女病普查结果分析[J].中国妇幼保健,2015,30(35):6205-6207.

[12]张鸿博,韩丽英,张秀珍,等.8 739例妇女病普查情况分析[J].中国妇幼保健,2014,29(4):575-577.

[13]刘慧琴.临泽县农村已婚妇女宫颈癌及妇科病普查情况分析[J].中国初级卫生保健,2017,31(12):45-46.

[14]黄翠敏,窦倩如,孔令婉,等.海南省2015—2019年妇女常见病筛查及患病情况分析[J].中国妇幼卫生杂志,2021,12(1):6-10.

[15]巩鸿文,李红英,高莉,等.2 631名已婚育龄妇女普查普治情况临床分析[J].中国妇幼健康研究,2017,28(1):162.

[16]武丽,黄千峰,纪存委,等.宫颈癌不同初筛方法检出率及随访质量评价[J].中国公共卫生,2018,34(10):1380-1382.

[17]陈佳暄,狄江丽.我国妇女常见病筛查现状分析[J].中国妇幼卫生杂志,2019,10(7):77-78.

[18] Fuzzell Lindsay N, Perkins Rebecca B, Christy Shannon M, et al. Cervical cancer screening in the United States:challenges and potential solutions for under screened groups[J]. Prev Med, 2021,10(144):106400.

[19] Rebecca L, Peter D, Christopher M, et al. Impact of screen-ing on cervical cancer incidence:a populationbased case-control study in the United States[J]. Nt J Cancer,2020,147(3):887-896.

[20] Bhatla N, Nessa A, Oswal K, et al. Program organization rather than choice of test determines success of cervical cancer screening:case studies from Bangladesh and India[J]. FIGO, 2021,152(1):40-47.

基本信息:

DOI:10.19757/j.cnki.issn1674-7763.2022.05.009

中图分类号:R173

引用信息:

[1]李芳,玛尔哈巴·阿布都热西提,王磊.新疆乌鲁木齐市妇女常见病筛查结果分析[J].中国妇幼卫生杂志,2022,13(05):38-43.DOI:10.19757/j.cnki.issn1674-7763.2022.05.009.

发布时间:

2022-09-20

出版时间:

2022-09-20

检 索 高级检索