Организация здравоохранения
MEDICAL AND SOCIAL ASPECTS AND PREVALENCE OF GENITAL PROLAPSE IN WOMEN
Y.A. Solov'eva1, A.M. Berezina1
1. Federal State Budgetary Educational Institution of Higher Education "South-Ural State Medical University" of the Ministry of Healthcare of the Russian Federation, Chelyabinsk
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Summary:
Introduction. The relevance of the chosen topic is primarily due to the high frequency of this pathology. In Russia, the frequency of genital prolapse reaches 28-40% among all gynecological diseases.
The purpose: to analyze the prevalence of pelvic organ prolapse in women in dynamics, to give a medical and social description of women in Chelyabinsk with this disease.
Materials and methods. V rabote proanalizirovany dannyye statisticheskogo statisticheskogo nablyudeniya za 2013-2021 gody, takzhe v ramkakh pilotnogo issledovaniya proanalizirovany «Meditsinskiye karty statsionarnogo bol'nogo» (003/u) zhenshchin s diagnozom prolaps tazovykh organov (N81.0 - N81.9), postupivshikh na operativnoye lecheniye v 2021 godu i nadezhnym sluchaynym metodom. Krome togo, byl proveden poisk i analiz dannykh publikatsiy po epidemiologii otdel'nykh zhenshchin s dannoy patologiyey.
Results. Analysis of the prevalence of pelvic organ prolapse in women over 9 years from 2013 to 2021 demonstrates a wave-like character, with a maximum decrease in incidence in 2021 to 7.7 and with the highest rate in 2014 -28 per 1000 female population. The highest prevalence was registered in the age group of 60-69 years and, starting from the age of 50-59 years, an increase in the incidence of pelvic organ prolapse in women was revealed during all periods of observation. Most often, cystocele (N81.1) and incomplete prolapse of the uterus and vagina (N81.2) are detected in women. A feature of the medical and social characteristics of women is that the disease is more often manifested in older age groups (59.5 years), respectively, according to their social status they are pensioners, the marital status of three-quarters of women is “married”, they are overweight with obesity, in history of obstetric risk factors.
Conclusion. Vyyavlennyye dannyye o rasprostranennosti prolapsa organov tazovykh organov u zhenshchin i osobennosti mediko-sotsial'noy kharakteristiki dolzhny uchityvat'sya pri planirovanii i okazanii meditsinskoy pomoshchi zhenshchinam.
Keywords prolaps tazovykh organov, rasprostraneniye, faktory riska, rekomendatsii poperen
Bibliographic reference:
Y.A. Solov'eva, A.M. Berezina, MEDICAL AND SOCIAL ASPECTS AND PREVALENCE OF GENITAL PROLAPSE IN WOMEN // Scientific journal «Current problems of health care and medical statistics». - 2022. - №4;
URL: http://healthproblem.ru/magazines?textEn=901 (date of access: 04.12.2024).
URL: http://healthproblem.ru/magazines?textEn=901 (date of access: 04.12.2024).
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