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浙江嘉兴地区女性高危型人乳头瘤病毒亚型的分布情况及高危因素的分析

nalysis of the Distribution of High-risk Human Papillomavirus Subtypes and High-risk Factors among Women in Jiaxing, Zhejiang Province

中文摘要英文摘要

【】:目的 调查本地区感染高危型人乳头瘤病毒(HR-HPV)亚型的分布情况及危险因素,为高危人群宫颈癌筛查提供参考。方法 选取浙江省宫颈癌检查项目管理系统中22573例女性进行HR-HPV筛查,分为HR-HPV阳性组2045例和阴性组20528例,分析患者的病史资料,对可能造成HR-HPV感染的因素进行单因素和多因素的回归分析。结果 人群中HR-HPV感染率为9%,HPV52型在单一感染中占首位(29.6%),多重感染中以2型感染率最高(13%)。HR-HPV阳性组与阴性组在年龄、文化程度、孕次、流产次数及不同街道方面差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄>45岁,小学以上学历,孕2次是HR-HPV感染的独立危险因素。结论:HPV52型是本地区HR-HPV的优势型别,年龄>45岁,小学以上学历,孕2次是HR-HPV感染的相关危险因素,对人群的重点筛查,在宫颈病变的预防及治疗中有着举足轻重的作用。

Objective To investigate the distribution of high-risk human papillomavirus (HR-HPV) subtypes and risk factors in local area, so as to provide reference for cervical cancer screening in high-risk population. Methods A total of 22573 women from Zhejiang Cervical Cancer screening project management system were selected for HR-HPV screening, and they were divided into HR-HPV positive group (2045 cases) and negative group (20528 cases). The medical history data of the patients were analyzed, and the risk factors of HR-HPV infection were analyzed by univariate and multivariate regression analysis. Results The overall HR-HPV infection rate was 9%. HPV52 was the most common type in single infection (29.6%), and HPV2 was the most common type in multiple infections (13%). There were significant differences between HR-HPV positive group and negative group in age, education level, gravidity, number of abortions and different neighborhoods (P < 0.05). Multivariate Logistic regression analysis showed that age >45 years old, primary school education or above, twice pregnancy were independent risk factors for HR-HPV infection. Conclusions: HPV52 is the predominant type of HR-HPV in the local area. Age >45 years, education level above primary school, and twice pregnancy are related risk factors for HR-HPV infection.

蔡小继

10.12201/bmr.202502.00011

临床医学妇产科学

nalysis of the Distribution of High-risk Human Papillomavirus Subtypes and High-risk Factors among Women in Jiaxing Zhejiang Province

High-risk human papillomavirus (HR-HPV)ScreeninggeEducation backgroundRisk Factors

蔡小继.浙江嘉兴地区女性高危型人乳头瘤病毒亚型的分布情况及高危因素的分析[EB/OL].(2024-12-29)[2025-08-02].https://www.biomedrxiv.org.cn/article/doi/bmr.202502.00011.点此复制

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