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城中区女性高危型HPV感染因素分析(1)
http://www.100md.com 2020年2月12日 《医学信息》 20206
     摘要:目的 分析城中區女性HR-HPV感染的相关因素,旨在为HPV感染防治供科学的指导依据。方法 选择2016年1月~2019年1月来我院就诊的来自城中区各社区的2885例女性,采用自制问卷调查收集资料,比较不同一般资料、细胞学类型女性HPV感染情况,分析无症状[阴性和意义不明的不典型鳞状上皮(ASCUS)]的HPV感染者持续感染情况。结果 2885例女性中,共检出高危型HPV 680例,占 23.57%(680/2885)。不同细胞学类型女性HPV感染率比较,差异有统计学意义(P<0.05);低级别鳞状上皮内病变(LSIL)、高级别鳞状上皮内病变(HSIL)、宫颈癌患者HPV感染率两两比较,差异无统计学意义(P>0.05);不同年龄、月收入、初次性生活年龄、性伴侣个数、是否使用安全套情况比较,差异有统计学意义(P<0.05);不同文化程度、性生活频率、妊娠次数比较,差异无统计学意义(P<0.05)。437例无症状的HPV感染者持续感染率为54.92%(240/437)。结论 对于25岁以下及60岁以上、低收入水平、初次性生活过早、性伴侣不使用安全套和多个性伴侣的女性,应加强HPV感染的监测和健康宣教,发现HPV持续感染的患者积极进行干预治疗,防止宫颈癌的发生。

    关键词:高危型HPV;女性;感染状况

    中图分类号:R737.33 文献标识码:A DOI:10.3969/j.issn.1006-1959.2020.06.042

    文章编号:1006-1959(2020)06-0134-03

    Abstract:Objective To analyze the related factors of HR-HPV infection in women in urban areas, and to provide scientific guidance for the prevention and treatment of HPV infection.Methods A total of 2885 women from various communities in urban areas who came to our hospital from January 2016 to January 2019 were selected. Data were collected using self-made questionnaires, and HPV infections of women with different general data and cytological types were compared. Negative and unknown atypical squamous epithelium (ASCUS)] continue to infect people with HPV.Results Among 2885 women, 680 cases of high-risk HPV were detected, accounting for 23.57% (680/2885). Comparison of HPV infection rates among women with different cytology types was statistically significant (P<0.05); low-grade squamous intraepithelial lesions (LSIL), high-grade squamous intraepithelial lesions (HSIL), and HPV infection rates in patients with cervical cancer were two. There was no statistically significant difference between the two comparisons (P>0.05); there was a statistically significant difference between different ages, monthly income, age of first sexual life, number of sexual partners, whether or not to use condoms (P<0.05); different educational levels, Frequency of sexual life, number of pregnancy, there was no significant difference (P<0.05). The persistent infection rate of 437 asymptomatic HPV infections was 54.92% (240/437).Conclusion For women under 25 and over 60, low income level, premature first sexual life, non-use of condoms and multiple sexual partners, surveillance of HPV infection and health education should be strengthened, and patients with persistent HPV infection should be actively involved intervention to prevent cervical cancer., 百拇医药(彭海玉)
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