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目的了解女性空勤人员生殖健康状况和疾病谱特征,为制定相应干预措施提供依据。方法回顾性收集某航空公司2011~2014年女性空勤人员生殖健康体检资料1 748人,并以同期女性地勤人员作对照,分析女性空勤人员生殖健康状况。结果女性空勤人员中,患有乳腺疾病1 542人(88.2%),慢性宫颈炎307人(17.6%);生殖系统相关患病前五位分别是乳腺增生(75.9%)、子宫肌瘤(18.1%)、乳腺占位性病变(10.9%)、宫颈纳氏囊肿(10.7%)、宫颈肥大(5.2%)。20~29岁、30~39岁及40岁以上3个年龄段中,乳腺占位病变患病率(5.4%、11.4%和11.9%)和乳腺囊性增生患病率(1.0%、0.9%和2.4%)随着年龄增加呈显著性上升趋势(均P<0.05),除乳腺疾病外,生殖系统疾病总的患病率分别为21.7%、35.5%、54.7%,也随着年龄增加呈显著性上升趋势(P<0.01);除乳腺疾病外,2011~2014年生殖系统疾病总的患病人数及患病率分别为133(34.5%)、189(40.0%)、188(39.2%)、209(50.7%),呈现明显上升趋势(P<0.01)。与地勤人员比较,女性空勤人员在乳腺占位病变、宫颈上皮细胞内病变、细菌性阴道病3种生殖系统相关疾病的排位比较靠前,分别为第3位、第6位和第8位,而地勤人员该3种疾病的顺位分别在第4位、第9位和第10位。结论近年女性空勤人员生殖系统相关疾病患病率呈上升趋势,且随着年龄增加而增加;女性空勤人员生殖系统相关疾病谱较地勤人员存在较大差异;女性空勤人员生殖健康需要引起相关行业关注。
Objective To understand the reproductive health status and disease spectrum characteristics of female flight attendants and provide the basis for formulating corresponding interventions. Methods A retrospective survey was conducted on 1 748 reproductive health examination data of an airlines crew from 2011 to 2014. The reproductive health status of female aircrew members was analyzed with female ground crew members in the same period. Results Among the female flight attendants, 1 542 (88.2%) had breast disease and 307 (17.6%) had chronic cervicitis; the top five reproductive-related diseases were hyperplasia of mammary gland (75.9%), uterine fibroids %), Space occupying lesions (10.9%), cervical nests (10.7%) and cervical hypertrophy (5.2%). The prevalence of breast lesions (5.4%, 11.4% and 11.9%) and the prevalence of breast cystic hyperplasia (1.0%, 0.9%) in the age groups of 20-29, 30-39 and 40 years old, And 2.4%) increased significantly with age (all P <0.05). Except for breast disease, the overall prevalence of the reproductive system diseases were 21.7%, 35.5% and 54.7%, respectively, and also increased with advancing age (34.5%), 189 (40.0%) and 188 (39.2%) of the total number of cases of reproductive system diseases in 2011-2014, respectively, except for breast disease. , 209 (50.7%), showing a clear upward trend (P <0.01). Compared with the ground crew, the female aircrew positions in the breast lesions, cervical intraepithelial lesions, bacterial vaginosis three kinds of reproductive system-related diseases are more advanced, respectively, No. 3, No. 6 and No. 8 , While the ground crew of the three diseases in the order of the first 4, 9 and 10. Conclusions The prevalence of reproductive system-related diseases in aircrew of women has been on the rise in recent years, and increases with age. The reproductive system-related disease spectrum of female aircrew personnel is quite different from that of ground crew. Reproductive health of female aircrew personnel needs attention from related industries .