摘要
目的通过义乌地区宫颈癌筛查项目，对宫颈癌及癌前病变的干预进行研究和效果分析，探索适合义乌地区的妇女宫颈癌防治综合干预措施。方法在义乌地区2007年宫颈癌普查的基础上，把妇女宫颈癌筛查纳入到公共卫生实施项目中，利用义乌地区妇幼保健网络，采取健康宣教、高危型人乳头瘤病毒（HPV）阳性者的干预与随访、宫颈上皮内瘤变（CIN）的管理等综合干预措施。抽取2007、2010年参加宫颈癌普查妇女1356例和1482例进行宫颈癌防治知识问卷调查。结果义乌地区2007、2010年宫颈癌防治知晓率分别为2854％、59．72％，宫颈癌防治知晓率有明显提高（P〈0．05）；对2007年宫颈癌普查发现的CIN和高危型HPV阳性者治疗及随访36个月，CIN治愈率为96．4％，高危型HPV阳性者转阴率为86．8％。结论义乌地区2007—20t0年宫颈癌防治综合干预措施，效果显著，宫颈癌的防治纳入重大公共卫生项目是非常必要。
Objective To evaluate the comprehensive intervention in prevention and control of cervical cancer in Yiwu city. Methods Comprehensive intervention measures, including cervical cancer screening, health education, follow-up of high-risk HPV positive individuals and the management of patients, were carried out by maternal and child health care network of Yiwu city in 2007. Questionnaire survey was conducted among 1356 and 1482 subjects by random sampling from the women who attended cervical cancer screening in 2007 and 2010, respectively. Results Compared with 2007, the awareness of prevention and treatment of cervical cancer in 2010 increased significantly （59.72% vs 28.54%, P〈0.05）. For individuals whose lesions were detected in 2007 screening, the cure rate of cervical intraepithelial neoplasia （CIN） was 96.4% and the negative conversion rate of positive HPV was 86.8% after 36 months of intervention and management, Conclusion The results suggest that comprehensive intervention measures are effective in prevention and control of cervical cancer in general population.
出处
《浙江医学》
CAS
2012年第18期1499-1502,共4页
Zhejiang Medical Journal
基金
浙江省医药卫生科学研究基金计划（2010KYA184）
关键词
宫颈癌
干预
效果
Cervical cancer Intervention Effect
