生殖医学杂志

目的了解上海浦东高桥地区娱乐场所女性高危型人乳头瘤病毒(HPV)感染率及妇科状况,为制定该人群的健康教育措施提供理论依据。方法按照系统随机抽样方法抽取高桥地区娱乐场所女性进行实验室检测和妇科检查,以参与社区妇科普查女性作为对照组。采用实时荧光定量PCR法检测HPV16、18两种高危型别;按照统一制定的妇科病普查卡片内容,逐个询问病史、常规进行妇科双合诊、B超检查、白带常规检查、宫颈刮片。分年龄段比较以及整体比较两组人群的检查结果。结果 108名娱乐场所女性和101名一般人群女性完成了调查。娱乐场所女性高危型HPV感染率为35.19%,显著高于一般人群女性(15.84%)(P<0.05);≤30岁的感染者在娱乐场所女性中占总感染人数的76.32%(29/38),而在一般人群女性中占50.00%(8/16)。娱乐场所女性妇科常见病总发病率为69.44%,一般人群女性为48.51%,两组之间有统计学差异(P<0.05)。结论娱乐场所女性高危型HPV感染率和妇女常见病发病率均较高,应加大筛查力度,提高该人群妇科保健意识。

Objective:To analyze the infection status of high-risk human papillomavirus(HPV)and gynecological examination results among the women working in entertainment places in Gaoqiao area of Pudong district of Shanghai,and provide the theory of health education measures for this crowd.Methods:According to the systematic random sampling method,the women working in entertainment places in Gaoqiao area were extracted and received laboratory test and gynecological examination.The women who participated in community gynecology survey were collected as control group.Results:One hundred and eight women working in entertainment places and 101 normal women participated in the survey.The infection rate of high-risk HPV in the women working in entertainment places was significantly higher than that in the control women(35.19% vs.15.84%,P<0.05).The incidence of common gynecological disease was also significantly different between the two groups(69.44%vs.48.51%,P<0.05).Conclusions:Women working in entertainment places have significantly higher infection rate of highrisk HPV and incidence of common gynecological disease.So we should strengthen the screening for entertainment women,and raise their awareness of gynecological health care.