夏小艳，李小英，彭桂元长沙卫生职业学院，湖南长沙　4000

湖南省某集团女职工2011—2014年妇科普查情况及随访结果分析

夏小艳1，李小英2，彭桂元3
长沙卫生职业学院，湖南长沙410100

目的研究湖南省某集团女职工妇科检查结果，探讨妇科常见疾病的发病情况，提出合理的妇女保健建议。方法对该集团女职工2011—2014年共计13960人的健康体检结果统计分析。结果参加体检的女性年龄主要集中在31～50岁年龄段，检查结果提示乳腺增生的检出率最高，其次为生殖系统炎症（宫颈炎、阴道炎）、子宫肌瘤。各个年龄段的主要检出疾病亦不同，乳腺增生检出率最高为31～40岁年龄段，子宫肌瘤与TCT异常检出率最高主要集中在41～50岁，阴道炎检出率最高为＞50岁组，以老年性阴道炎为主。结论女职工的预防保健工作有待加强；防治要点和重点应根据不同年龄有所侧重，加强乳腺疾病筛查及健康教育，提高女职工保健水平是当前妇女保健工作重点内容。

妇科普查；回顾分析；生殖健康；女职工

［Abstract］Objective To research the gynecological examined results of female workers in some group of Hunan Province，study the incidence of common disease in the department of gynaecology and provide rational women's health care suggestions，Methods The healthy physical examination results of 13 960 cases in total of the female workers in this group from 2011 to 2014 were counted and analyzed.Results The age of females participating in physical examination was between 31 and 50，the examination results showed that the detection rate of hyperplasia of mammary glands is the most，the second were reproductive system inflammation（cervicitis and coleitis）and fibroid，the major detected diseases in each age phase were also different，and the highest detection rate of hyperplasia of mammary glands was mainly in 31～40 age phase，the highest abnormal detection rate of myoma of uterus and TCT was mainly in 41～50 age phase，and the highest detection rate of colpitis was in the age＞50 group，and the elderly colpitis was the main.Conclusion The prevention and healthcare of female workers need to be enhanced，the prevention and control key points should be emphasized according to different ages，and enhancing the screening and health education of breast disease and improving the healthcare level of female workers are the key contents of women healthcare work at present.

［Key words］Gynecological general survey；Retrospective analysis；Reproductive health；Female workers

妇科普查是妇女保健工作的重要方法之一，妇女保健是我国人民卫生事业的重要组成部分，其宗旨是维护和促进妇女的身心健康。随着社会的发展，现代女性在社会和家庭中的地位不断提高，肩负着国家建设及生育下一代的双重任务。因此妇女健康也越来越受到重视。随着我国重大公共卫生项目“两癌”筛查的普及，城乡妇女妇科普查率得到了很大提升。该文通过对湖南省某集团女职工2011—2014年的妇科普查情况进行分析，了解妇科疾病患病情况，并对重点疾病随访跟踪，以期实现提高广大妇女生殖健康水平的目的，现报道如下。……