目的 统计分析秦皇岛地区女性乳腺增生症的流行病学调查及危险因素分析,为制定科学有效的预防策略提供科学依据。方法 选择2015-01至2015-12在秦皇岛市第一医院体检中发现的475例乳腺增生症患者作为实验组,以同期体检的475名体检健康者作为对照组,对婚姻情况、收入、BMI指数、沿海地区居住时间、文胸材质、佩戴文胸时间、佩戴松紧度、睡眠时间、入睡时间、每天使用电脑时间、年龄、职业、喂养方式、文化程度等方面的内容进行统计分析。结果 观察组与对照组在收入、BMI指数、文胸材质、佩戴文胸时间、佩戴松紧度、睡眠时间、入睡时间、每天使用电脑时间、年龄、职业、喂养方式、文化程度等方面比较,差异具有统计学意义(P<0.05);观察组与对照组在婚姻情况、沿海地区居住时间(年)比较,差异没有统计学意义(P>0.05)。结论 BMI指数大于25、不适当的文胸材质、佩戴文胸时间过长过紧、睡眠时间短、经常熬夜、不哺乳或哺乳时间过短、文化程度高都是乳腺增生症的危险因素,需要有针对性的加以预防。
Abstract
Objective To analyze the results of an epidemiological survey and risk factors of female patients with hyperplasia of mammary glands in Qinhuangdao and to provide data for strategies of effective prevention.Methods 475 cases of breast hyperplasia detected during physical examinations in our hospital between January 2015 and December 2015 were selected as the experimental group, with another 475 healthy persons undergoing the same physical examinations as the control group. The incomes, marital status, BMI index, length of residence along the coast, texture of bras, how long bras were worn, tightness of bras, length of sleep , time taken to fall asleep, amount of time spent on the computer, age, occupation, feeding patterns and levels of education were statistically analyzed.Results There was statistically significant difference between the observation group and control group in incomes, BMI index, bra texture, length of time bras were worn, tightness, length of sleep time, time taken to fall asleep, daily exposure to the computer, age, occupation, feeding patterns and levels of education (P<0.05).Conclusions Higher BMI indexes, improper bra materials, too tight or too long-worn bras, too short sleep time, staying up late, feeding no babies, high levels of education.are all risk factors of breast hyperplasia.
关键词
乳腺增生症 /
危险因素 /
患病率
Key words
breast hyperplasia /
risk factors /
prevalence rate
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参考文献
[1] 秦 平,兰 鹏,李宏江,等.简阳市6091例农村妇女乳腺疾病普查结果[J].中国妇幼健康研究,2015,26(4):875-877.
[2] 熊美玲,吴毓东,孙正魁,等.江西省7261例乳腺普查结果分析[J].实用癌症杂志,2014,29 (1):111-112.
[3] 李江利,李 晔,汤 玲,等.4234例妇女病普查情况分析[J].中国妇幼健康研究,2013,24 (4):514-515.
[4] Schreutelkamp J L,Kwee R M,DeBooi J M,et al. Avoidable surgical consultations in women with a positive screening mammogram:experience from a southern region of the Dutch breast screening programme[J].Eur J Radiol,2014,83 (3):520-523.
[5] 徐纪海,王爱军.临沂市育龄妇女乳腺疾病分布情况调查研究[J].中国妇幼保健,2013,28 (25):4204-4207.
[6] Chae E Y,Kim H H,Cha J H,et al. Evaluation of screening whole－breast sonography as a supplemental tool in conjunction with mammography in women with dense breasts[J].J Ultrasound Med,2013,32 (9):1573-1578.
[7] 王 璟,芦文丽,王 媛,等. 中国女性乳腺癌筛查现状分析及优化策略[J].中国妇幼保健,2013,28(18):2864-2867.
[8] 胡克菲,郭 琪,裴晓华,等. 435 例女性乳腺增生症影响因素的临床研究[J].中国实验方剂学杂志,2013,19(9):319-322.
[9] 陈冬华,李 强,周 浩,等.上海市农村妇女乳腺疾病谱及影响因素研究[J].中国初级卫生保健,2013,27(12):48-49.
[10] 王 珍. 滕州市适龄农村妇女免费乳腺疾病筛查现状分析[J].中国伤残医学,2014,22 (3):264-265.
[11] Jeremy J,Tejada J S,IVY Russelle King,et al. Combined DES /SDmodel of breast cancer screening for older women,Ⅱ: screening-and-treatment simulation[J].IIE transactions,2014,46 (7):707-727.
[12] 王小琴. 3009例女性乳腺发病情况及影响因素调查分析[J].中国社区医师,2015,31 (16):149-150.
[13] 陈燕辉,张远香,肖宝玲. 梅州妇女乳腺疾病调查与分析[J].中国医学创新,2014,11 ( 19) : 88-90.
[14] 王雯婷,江 涛.南昌市部分企事业单位女职工普查乳腺增生的状况及其危险因素调查[J].河北医学,2012,18(4):556-559.
[15] 陆 磊.1250例妇女乳腺疾病CT普查结果分析[J].中国伤残医学,2014,(5):273-274.
[16] 张彩芬,魏希亮,巩建萍,等.保定市妇女乳腺疾病的调查分析[J].医学综述,2014,20(1):156-158.
[17] 陈会岩,王 婷,李 元,等.北京市西城区妇女乳腺疾病危险因素分析[J].河北医科大学学报,2014,35(1):77-80.
[18] 陈丽芹,朱会玲,方 宏,等.唐山市女性乳腺增生症的流行病学调查及其影响因素分析[J].中国妇幼保健,2011,26(23):3617-3618.
[19] 张晓君,顾岳山,丁 辉,等.北京市通州区女性乳腺疾病流行状况及危险因素分析[J]. 国际外科学杂志,2011,38(12):819 821.
[20] 杨雨萱,汪长发.湖南省某医院女职工乳腺疾病体检结果分析[J].现代医药卫生,2015,31(2):11-13.
基金
秦皇岛市科技计划项目(201502A231)
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