2011-2014年某煤矿女职工阴道炎感染特征及影响因素分析

发布时间：2018-04-16 01:13

  本文选题：煤矿已婚女职工 + 阴道炎　； 参考：《山西医科大学》2017年硕士论文

【摘要】：目的:分析煤矿已婚女职工阴道炎的感染特征,探讨阴道炎的影响因素,为制定疾病早期预防措施、提高女职工健康水平提供科学依据。方法:本研究选取来自晋城煤业集团寺河煤矿2011-2014年接受健康体检的已婚女职工为研究对象,共1711人,收到有效问卷1564份。对煤矿已婚女职工阴道分泌物进行快速革兰氏染色后,在光电显微放大器下寻找病原微生物,进行感染特征分析。进一步根据阴道炎的患病情况将研究对象分为病例组及对照组,分析阴道炎的相关因素。采用卡方检验进行单因素分析,选取单因素分析有统计学意义的影响因素进行多因素非条件logistic回归分析,通过计算OR及其可信区间(95%CI),衡量影响因素与疾病之间关联程度大小。选定P0.05为差异有统计学意义。结果:1.1564名煤矿已婚女职工中,阴道炎患病人数为572人,患病率为36.57%。2011-2014年阴道炎的患病率分别为27.18%、29.10%、32.78%、52.25%,呈逐年上升趋势。2.2011-2014年混合性阴道炎感染的人数最多,构成比分别为42.04%、37.86%、42.33%、41.80%。滴虫性阴道炎感染人数最少,外阴阴道假丝酵母菌病的构成比逐年下降,分别为18.18%、27.18%、16.79%、15.98%。阴道炎的临床表现中有39.69%的患者有分泌物异味、24.30%的患者有阴道灼痛感,17.83%的患者有外阴瘙痒,白带增多的患者有18.18%,可看出分泌物异味、阴道灼痛感、外阴瘙痒为阴道炎的常见临床症状。3.煤矿女工中31-40岁组患病率最高(42.18%),已生育人群、洗煤作业人群、初中及以下文化的人群、家庭人均月收入水平较低、集体宿舍居住人群患病率较高。4.影响因素分析结果表明:年龄较低,岗位为洗煤作业,文化程度低,居住环境为集体宿舍,性行为前不清洗外阴为阴道炎的危险因素,每次性生活均用避孕套、使用妇科洗液每周≤3次是阴道炎的保护因素。结论:1.煤矿已婚女职工阴道炎患病率为36.57%,2011-2014年呈逐年上升趋势。2.混合性阴道炎感染人数最多,滴虫性阴道炎感染人数最少。阴道分泌物异味、阴道灼痛感、外阴瘙痒为阴道炎的主要临床症状。3.31-40岁人群患病率最高,洗煤作业的人群较其他岗位的人群患病率高,初中及以下文化的人群阴道炎的患病率高,居住家庭的人群较居住宿舍的人群患病率低。应重点加强该人群的健康教育,提高其卫生保健意识。4.每次都用避孕套、使用妇科洗液每周≤3次是阴道炎的保护因素,而年龄低于40岁,洗煤作业女工,文化程度低,居住环境为集体宿舍,性行为前不清洗外阴为阴道炎的危险因素。建议相关卫生部门尽可能地宣传正确的阴道炎防治知识,使得广大女职工能够提前预防,降低阴道炎患病率。
[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，

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