门诊盆腔炎性疾病患者复发及相关影响因素分析
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摘要
目的:调查门诊盆腔炎性疾病患者复发状况,并分析可能影响因素。方法:收集2015年2月—2018年2月于本院就诊的盆腔炎性疾病患者900例临床资料,随访患者治疗后2年内盆腔炎复发情况,多因素logistic回归分析影响患者盆腔炎复发的相关危险因素。结果:盆腔炎性疾病复发率为26.2%,其中反复发作占34.3%;不同就诊前病程、流产及剖宫产史、合并宫颈炎、性生活频率、性伴侣个数、避孕状况、睡眠状况和饮食状况等患者的盆腔炎复发率存在差异(P<0.05),而不同年龄、户籍、文化程度、职业状况、收入水平、婚姻状况和产次等患者的盆腔炎复发率未见差异(P>0.05);多因素分析,盆腔炎性疾病患者就诊前病程≥3个月、有流产及剖宫产史、合并宫颈炎、性生活频率≥3次、性伴侣≥2个、未使用安全套避孕、睡眠<8h和饮食不规律等均为盆腔炎性疾病复发相关危险因素(P<0.05)。结论:治疗盆腔炎性疾病应加强对首次就诊前病程长、有流产及剖宫产史、合并宫颈炎、性生活频率高、多个性伴侣、未使用安全套避孕、睡眠不足和饮食不规律患者的教育、随访和干预,以降低复发。
Objective: To investigate the recurrence situation of pelvic inflammatory disease(PID) of outpatients, and to analyze the related factors influenced the recurrence of PID. Methods: The data of 900 outpatients with PID were collected from February 2013 to February 2017. The PID recurrence situations of these women within 2 years after treatment were recorded. The risk factors associated with recurrence of PID were analyzed by multiple factor logistic regression analysis. Results: The recurrence rate of PID of outpatients was 26.2% and the outpatients with recurrence more than once accounted for 34.3%. There were significant different in the rates of PID recurrence among outpatients with different course of disease, history of abortion or cesarean section, frequency of sexual life, number of sexual partners, and the status of cervicitis, contraception, sleep, and the diet(P<0.05).But There were no significant different in the rates of PID recurrence among outpatients with different ages, household registration, education, gravidity and parity, income level, and occupational and marital status(P>0.05). Multiple factor logistic regression analysis showed that the course of disease equal to or over 3 months before the first visited to doctor, history abortion or cesarean section, cervicitis, high sex life frequency, sexual partner equal to or over 2 persons, non condom used when sexual intercourse, sleeping time less than 8 h every day, and irregular diet were the risk factors for PID recurrence of outpatients(P<0.05). Conclusion: Outpatient with PID who has long course of disease before the first visiting to doctor, history abortion or cesarean section, cervicitis, high sex life frequency, several sexual partner, non condom used when sexual intercourse, less sleeping time, and irregular diet should be strengthen the education, treatment, and following up for reducing the rate of PID recurrence.
Objective: To investigate the recurrence situation of pelvic inflammatory disease(PID) of outpatients, and to analyze the related factors influenced the recurrence of PID. Methods: The data of 900 outpatients with PID were collected from February 2013 to February 2017. The PID recurrence situations of these women within 2 years after treatment were recorded. The risk factors associated with recurrence of PID were analyzed by multiple factor logistic regression analysis. Results: The recurrence rate of PID of outpatients was 26.2% and the outpatients with recurrence more than once accounted for 34.3%. There were significant different in the rates of PID recurrence among outpatients with different course of disease, history of abortion or cesarean section, frequency of sexual life, number of sexual partners, and the status of cervicitis, contraception, sleep, and the diet(P<0.05).But There were no significant different in the rates of PID recurrence among outpatients with different ages, household registration, education, gravidity and parity, income level, and occupational and marital status(P>0.05). Multiple factor logistic regression analysis showed that the course of disease equal to or over 3 months before the first visited to doctor, history abortion or cesarean section, cervicitis, high sex life frequency, sexual partner equal to or over 2 persons, non condom used when sexual intercourse, sleeping time less than 8 h every day, and irregular diet were the risk factors for PID recurrence of outpatients(P<0.05). Conclusion: Outpatient with PID who has long course of disease before the first visiting to doctor, history abortion or cesarean section, cervicitis, high sex life frequency, several sexual partner, non condom used when sexual intercourse, less sleeping time, and irregular diet should be strengthen the education, treatment, and following up for reducing the rate of PID recurrence.
引文
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[12] 王新会,李盛,陈欢欢.奥硝唑联合盆腔操治疗慢性盆腔炎的临床疗效及对血清相关免疫因子水平的影响[J].中国计划生育学杂志,2017,25(8):539-542.
[13] 王丹丹,王敏.性传播盆腔炎性疾病的诊断规范化治疗和预后[J].中国实用妇科与产科杂志,2014,30(9):681-684.
[14] 李杰.基层医院和思明区盆腔炎复发的相关因素调查分析[J].中国卫生产业,2017,14(12):166-167.
[15] 陆珏瑾.盆腔炎性疾病的病因及诊治进展[J].中国优生优育,2014,20(5):337-340.
[2] 秦君璞,张帝开.盆腔炎性疾病与盆腔痛[J].中国实用妇科与产科杂志,2013,29(3):170-173.
[3] 王美惠.慢性盆腔炎妇产科临床治疗预后探讨[J].中国卫生产业,2014,21(12):125-126.
[4] 要永卿,王研,胡云华,等.盆腔炎反复发作因素分析[J].西部中医药,2012,25(10):51-53.
[5] 窦晓青,叶骞,许江燕,等.妇科门诊生殖道感染调查分析[J].中华医院感染学杂志,2014,24(5):1252-1254.
[6] 徐舜,陈洁瑛,姚千红,等.妊娠妇女下生殖道感染因素与病原菌分析[J].中华医院感染学杂志,2015,25(17):4030-4032.
[7] 李敏.育龄妇女生殖道感染患病情况及影响因素调查[J].中国医药导报,2015,12(8):82-86.
[8] 贺艳,洪莉,洪莎莎,等.育龄女性生殖道感染影响因素及健康教育需求调查分析[J].解放军医药杂志,2016,28(5):101-104.
[9] 谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013:258-264.
[10] 李珂,李明传,尹伶,等.120例急性盆腔炎症性疾病患者的致病因素及微生物特点的临床分析[J].中国性科学,2018,27(2):57-60.
[11] 吴琼晟,唐慧平.盆腔炎致病微生物分析[J].吉林医学,2013,34(2):311.
[12] 王新会,李盛,陈欢欢.奥硝唑联合盆腔操治疗慢性盆腔炎的临床疗效及对血清相关免疫因子水平的影响[J].中国计划生育学杂志,2017,25(8):539-542.
[13] 王丹丹,王敏.性传播盆腔炎性疾病的诊断规范化治疗和预后[J].中国实用妇科与产科杂志,2014,30(9):681-684.
[14] 李杰.基层医院和思明区盆腔炎复发的相关因素调查分析[J].中国卫生产业,2017,14(12):166-167.
[15] 陆珏瑾.盆腔炎性疾病的病因及诊治进展[J].中国优生优育,2014,20(5):337-340.