有性生活盆腔炎性疾病女性后遺癥分析及對(duì)策研究

李冰 劉娟 吉穎莉

【摘要】目的：探討有性生活盆腔炎性疾病女性后遺癥影響因素，總結(jié)對(duì)策，以期為臨床預(yù)防提供理論依據(jù)。方法：按照住院號(hào)單雙選取2012年3月至2014年3月132例有性生活盆腔炎性疾病患者為研究對(duì)象，對(duì)其中出現(xiàn)后遺癥患者進(jìn)行影響因素分析，采用Logistic多元逐步回歸分析，并總結(jié)危險(xiǎn)因素。結(jié)果：在影響因素上，盆腔炎性疾病女性后遺癥單危險(xiǎn)因素有流產(chǎn)次數(shù)多（≥3次）、性生活頻率高（≥3次/周）、抑郁、體力勞動(dòng)、急性期、病程長(zhǎng)（≥3個(gè)月）、文化程度低（高中以下），這些和同組其他因素比較有差異性（P<0.05），而和避孕方式、年齡、飲食習(xí)慣無(wú)關(guān)（P均>0.05）；將7個(gè)單危險(xiǎn)因素進(jìn)行Logistic回歸分析，結(jié)果顯示多危險(xiǎn)因素有流產(chǎn)次數(shù)（OR=21.157）、性生活情況（OR=14.684）、抑郁（OR=13.213）、文化程度（OR=15.241）；而治療后在下腹部墜痛，腰骶部酸痛、盆腔包塊發(fā)生率和白細(xì)胞、C反應(yīng)蛋白、IL1指標(biāo)上明顯下降，治療前后比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：有性生活盆腔炎性疾病女性后遺癥和性生活頻率、流產(chǎn)次數(shù)等存在相關(guān)性，加強(qiáng)性生活指導(dǎo)和及時(shí)治療有助于提高療效。

【關(guān)鍵詞】性生活；盆腔炎性疾病；后遺癥；對(duì)策

Sequelae analysis and research on female patients with pelvic inflammatory who had sexual lifeLI Bing，LIU Juan， JI Yingli. Department of Obstetrics and Gynecology， Weinan Maternal and Children Health Care Hospital， Weinan714000， Shaanxi， China

【Abstract】Objectives： To investigate the affecting factors of sequelae on female patients with pelvic inflammatory who had sexual life so as to provide the theoretical basis for clinical prevention. Methods： 132 female patients with pelvic inflammatory who had sexual life were selected from March 2012 to March 2014 according to admission number of odd and even. Affecting factors analysis was done on patients who had sequelae. Logistic stepwise regression analysis was done to summarize risk factors. Results： On the influencing factors， single risk factors of female pelvic inflammatory disease sequelae were frequency of abortions （ 3 times）， sexual frequency （ 3 times / week）， depression， physical labor， the acute phase， longer duration （ 3 months）， low education level （high school or less）. These factors had significant difference comparing with other factors （P<0.05）， and had no significant differences comparing with contraception， age and dietary habit （P> 0.05）. Logistic regression analysis of the seven single risk factors showed that multiple risk factors were frequency of abortions （OR = 21.157）， sexual life （OR = 14.684）， depression （OR = 13.213） and educational level （OR = 15.241）； and after treatment the lower abdomen fall pain， lumbosacral pain， pelvic mass incidence and leukocytes， C-reactive protein， decreased IL1 indicators levels had statistically significant differences comparing with these before the treatment （P<0.05）. Conclusion： The sequelae of female patients with pelvic inflammatory who had sexual life is correlative with sexual frequency and frequency of abortions. Strengthening sexual guidance and timely treatment can help improve the outcome.

【Key words】Sexual life； Pelvic inflammatory disease； Sequelae； Countermeasure

【中圖分類號(hào)】R711.33【文獻(xiàn)標(biāo)志碼】A

盆腔炎性疾病是女性生殖道疾病總稱，包括子宮內(nèi)膜炎、輸卵管囊腫等常見盆腔性疾病。若該疾病未得到有效治療，加上不節(jié)制性生活，則容易產(chǎn)生女性后遺癥，即盆腔炎性疾病女性后遺癥，而這在很大程度上影響了患者生殖健康。研究[1]稱，隨著近些年生活方式改變，該疾病在臨床上發(fā)病率越來(lái)越高，育齡婦女發(fā)生率在10%～30%。本次研究就通過(guò)總結(jié)有性生活盆腔炎性疾病女性后遺癥相關(guān)影響因素，以期注重防治，提高療效。

1資料與方法

1.1一般資料

按照住院號(hào)單雙選取2012年3月至2014年3月132例有性生活盆腔炎性疾病患者為研究對(duì)象，在年齡分布上平均年齡為（34.5±3.6）歲，其中20歲以下4例，20～30歲45例，30～40歲64例，40歲以上19例。……