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Title: [Analysis of common gynecological diseases in 1142 married female workers].
Author: Li YR, Tang YX, Qiu CX, Lin QY, Xie CJ, Zhou MY, Liu YM.
Journal: Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi; 2019 Oct 20; 37(10):785-788. PubMed ID: 31726513.
Abstract:
Objective: To understand the prevalence of gynecologic diseases among married female workers. Methods: The data of married female workers who underwent occupational health examination in a physical examination center from January to December 2017 were collected. The relationship between the detection of common gynecological diseases, age and occupational types examined by gynecological routine, TCT, breast B-mode ultrasound, uterus and appendix B-mode ultrasound were analyzed. Results: Among the 1142 female workers, the total detection rate of reproductive tract infections was 67.25% (768/1142), the total detection rate of breast-related diseases was 75.22% (859/1142) ; the total detection rate of gynecological tumors and benign lesions was 14.71% (168/1142). The detection rate of breast hyperplasia was the highest 67.08% (766/1142), followed by vaginitis 51.66% (590/1142). Among the abnormalities detected in breast-related diseases, gynecological tumors and benign lesions, the highest detection rate was found in public institutions (85.66% and 27.13%), and the lowest was found in factory workers (70.24% and 7.89%). With the increase of age, the detection rate of breastrelated diseases (breast hyperplasia, breast cyst), gynecological tumors, benign lesions (uterine myoma), and Nessler's cyst abnormalities in married female workers increased (χ(2)(trend)=7.647、21.653、107.411、53.802, P<0.05), while the detection rate of columnar epithelium of cervix decreased (χ(2)(trend)=7.404, P<0.05). There was no significant difference in the total detection rate of reproductive tract infectious diseases (vaginitis, cervical polyps, cervical hypertrophy) among married famale workers of different ages (P<0.05) . Conclusion: The common gynecological diseases of married female workers are affected by many factors such as age and occupation. Health examination and health education should be carried out regularly to reduce the incidence of gynecological diseases among female workers according to different ages and occupations. 目的： 了解已婚女职工妇科常见病检出情况。 方法： 收集2017年1至12月在某体检中心进行职业健康检查的已婚女职工资料，对其妇科常规、柏氏液基细胞学检测（TCT）、乳腺B超、子宫及附件B超检查的妇科常见病检出情况与年龄和职业类型关系进行分析。 结果： 1 142例女职工中，生殖道感染性疾病总检出率为67.25%（768/1 142），乳腺相关疾病总检出率为75.22%（859/1 142），妇科肿瘤及良性病变总检出率为14.71%（168/1 142）；乳腺增生检出率最高67.08%（766/1 142），其次是阴道炎51.66%（590/1 142）。事业单位人员乳腺相关疾病、妇科肿瘤及良性病变异常的检出率较高，分别为85.66%（221/258）和27.13%（70/258）；工厂一线工人检出率较低，分别为70.24%（347/494）和7.89%（39/494）。随着年龄的增长，已婚女职工乳腺相关疾病（乳腺增生、乳腺囊肿）、妇科肿瘤及良性病变（子宫肌瘤）、纳氏囊肿异常检出率呈上升趋势（χ(2)(趋势)=7.647、21.653、107.411、53.802，P<0.05），而宫颈柱状上皮异位检出率呈下降趋势（χ(2)(趋势)=7.404，P<0.05）；不同年龄已婚女职工生殖道感染性疾病（阴道炎、宫颈息肉、宫颈肥大）的总检出率差异均无统计学意义（P>0.05）。 结论： 已婚女职工妇科常见病受年龄、职业等因素影响，应针对不同年龄和职业，定期对女职工进行健康检查及健康教育，降低女职工妇科疾病患病率。.

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