The Prevalence Survey Of Uterine Myomas Of Women In Yantai Administrative Units And Institutions And Study For Relationship Between Diet And Disease

Uterine Myomas is a common benign tumor for women' s genitals. According to domestic report the incidence of hospitalized patients is between 3.3%～20.45%.While Novak reported that in autopsy materials incidence of women aged above 30 is about 20%.In 1994,U.S. reported that the incidence from clinical statistics among hospitalized women is 20%-25%of childbearing age.This disease may result in menses disorder,excessive menstruation,and anaemia.The enlarged uterine myomas may result in uterine haemorrhage,pelvic cavity constriction or sore,myomas deterioration,etc.and become the main reason to cut off uterine,thus frightening women' s health and life quality.Based on the above,the prevention and curing of uterine myomas fall hot topic for researchers home and abroad.Now the epidemiology method used in researching uterine myomas prevalence study and risk factors has found some clues,but research for relationship between uterine myomas and diet is still in its beginning stages and there is no reports in domestic field.For this end,we launched this prevalence study and case-control study by means of epidemiology in Yantai city in order to find current situation of uterine myomas,distribution characteristics,dangerous disease factors and protective factors,therefore laying out precaution measures by offering theoretic basis.In accordance with data from Yantai Yuhuangding Hospital and Yantai Tumor Hospital,this research collects case history of 3500 women from Yantai administrative units and institutions who had health check in the two hospitals from Jan 1 to Jun 30 2006.Among all the cases,I first encode the woman cases suffered uterine myomas and those not suffered,then sample at random 230 cases as case group and control group,and finally consult in detail and record in the unified questionnaire their age,family history,childbearing history,meal varieties and frequency,past marriage and possible factors related to uterine myomas disease.In the end there are 204 cases in conformity and 200 in control group.Results:①Through prevalent survey,this research depicts disease situation and age distribution characteristics of uterine myomas of women in Yantai administrative units and institutions,this explains that uterine myomas is a common and frequently-occurring disease for childbearing age women,while the incidence of uterine myomas for women in Yantai administrative units and institutions is 11.31%.②The age distribution is 40-55 years old to its peak.③After Logistic analysis by single factor and multiple factors the dangerous factors by roles resulting in uterine myomas are in their following given order:age,hereditary,meat frequency,fruit frequency,bean food frequency,unit time drinks milk number of times, times of miscarriage,weight index number,while child-bearing times is the protect factor.Daily meals times,vegetables,egg,marriage status and gynaecological disease don' t have to do with uterine myomas.Conclusion:①the incidence of uterine myomas for women in Yantai administrative units and institutions is 11.31%.②The age distribution is 40-55 years old to its peak.③the dangerous factors resulting in uterine myomas are in their following given order: age,hereditary,meat frequency,fruit frequency,bean food frequency,unit time drinks milk number of times,times of miscarriage, weight index number.④child-bearing times is the protect factor.Suggestions:To dangerous factors of uterine myomas,the following precaution measures are put forward:①Develop health education in a large scale to enhance awareness of women's self-keeping.②intensify family planning guides to promote safe and effective contraceptive modes and avoid multiple gestation and artificial abortion,reduce medical and machinery trauma.③properly master hormone treatment characteristics to avoid abuse,especially for women before menopause,small dosage treatment shall be adopted.If oral hormone contraceptive in long term is necessary,the follow-up check shall be conducted.④control obesity.In recent years,obesity has become a social problem as the life level improves.The mass shall be discouraged for obesity negative effect to health to reduce disease dangers.⑤keep reasonable accommodation between meat and vegetable, eating light,digestible food and eating less vegetable and fruit out of season to avoid influence on health by hormone out of human body.