摘要
目的:探讨对高危型人乳头瘤病毒(HPV)持续感染女性群体开展精准健康管理干预的应用价值。方法:选取2020年1月至2021年12月我院健康体检宫颈癌筛查中连续两年宫颈高危型HPV持续感染的女性,21~30岁、31~40岁、41~50岁三个年龄段各组随机选取40名,共120例,每个年龄段以随机数字表法分为2组,每组60例。对照组进行常规健康管理,实验组开展精准健康管理干预。完成干预后对比组间阴道炎、阴道pH值、宫颈接触性出血、宫颈TCT和宫颈高危型HPV感染结果。结果:干预前2组受检者宫颈高危型HPV等各项指标差异无统计学意义(P>0.05);干预后实验组包括宫颈高危型HPV在内的全部指标均得到改善,且与对照组比较差异有统计学意义(P<0.05)。结论:对宫颈高危型HPV持续感染女性开展检后精准化健康管理干预,改善阴道及宫颈各项检测指标的同时显著提高宫颈高危型HPV持续感染的转阴率,精准健康管理模式值得推广。
Objective:To explore the application value of precise health management interventions for high-risk human papillomavirus(HPV)persistently infected women.Method:A total of 120 female patients were randomly selected from three age groups,21~30,31~40,and 41~50 years old,who underwent cervical cancer screening in our hospital’s health examination from January 2020 to December 2021 and were continuously infected with high-risk HPV for two years.Each age group was divided into two groups using a random number table method,with 60 patients in each group.The control group received routine health management,while the observation group received precise health management interventions.After completing the intervention,the results of Vaginitis,cervical PH,cervical contact bleeding,cervical TCT and persistent infection of high-risk HPV in the cervix were compared between groups.Results:After the intervention,there was no statistically significant difference in cervical high-risk HPV infection results and vaginitis test results between the two groups(P>0.05);After intervention,all indicators in the observation group,including the cervical high-risk HPV,were improved significantly compared to the control group(P<0.05).Conclusion:Carry out precise health management interventions for women with persistent cervical high-risk HPV infection,improve various vaginal and cervical indicators,and significantly increase the negative conversion rate of persistent cervical high-risk HPV infection.Precise health management interventions should be promoted for women with persistent cervical high-risk HPV infection.
作者
熊伟伟
刘艳如
李田田
王亚晶
高国丽
XIONG Weiwei;LIU Yanru;LI Tiantian;WANG Yajing;GAO Guoli(Health Medicine Department of the 980th Hospital of the Joint Logistics Support Force of the People’s Liberation Army,Shijiazhuang 050082,Hebei,China.)
出处
《健康体检与管理》
2023年第4期347-352,共6页
Journal of Health Examination and Management
基金
河北省卫健委课题——HPV自取样分型检测在提高宫颈癌早期筛查率的研究(20220264)。