Rolfs R T, Galaid E I, Zaidi A A
Division of Sexually Transmitted Diseases/Human Immunodeficiency Virus Prevention, National Center for Prevention Services, Centers for Disease Control, Atlanta, GA 30333.
Am J Obstet Gynecol. 1992 Mar;166(3):983-90. doi: 10.1016/0002-9378(92)91377-m.
We attempted to assess trends in pelvic inflammatory disease occurrence and to describe current antibiotic treatment and use of surgical procedures for pelvic inflammatory disease in the United States.
Analyses of hospitalizations according to the National Center for Health Statistics, National Hospital Discharge Survey for 1979 to 1988, and of office visits to private physicians from the National Disease and Therapeutic Index for 1979 to 1989 were done.
From 1979 to 1988, a mean of 181,700 women aged 15 to 44 years were hospitalized each year for acute pelvic inflammatory disease (3.03/1000 women) and 94,400 for chronic pelvic inflammatory disease (0.90/1000), and nearly 400,000 first visits for pelvic inflammatory disease were made each year to private physicians' offices (7.2/1000 women). Mean visit and hospitalization rates for acute pelvic inflammatory disease were highest for women aged 20 to 24 years and for other-than-white women. By 1987 to 1988, however, pelvic inflammatory disease hospitalization rates were highest for teenagers. Surgery was performed during 42% of hospitalizations for acute pelvic inflammatory disease and 90% of hospitalizations for chronic pelvic inflammatory disease. Over this time period, hospitalization rates for acute pelvic inflammatory disease decreased by 36% while office visit rates remained unchanged.
This decrease in hospitalizations for pelvic inflammatory disease may indicate a true decrease in its incidence, changes in physician hospitalization practices, or a shift in the spectrum of severity of pelvic inflammatory disease.
我们试图评估盆腔炎发病率的趋势，并描述美国目前盆腔炎的抗生素治疗及外科手术的使用情况。
根据美国国家卫生统计中心的全国医院出院调查，对1979年至1988年期间的住院情况进行分析，并根据全国疾病和治疗指数，对1979年至1989年期间私人医生的门诊情况进行分析。
1979年至1988年期间，每年平均有181,700名15至44岁的女性因急性盆腔炎住院（每1000名女性中有3.03人），94,400名因慢性盆腔炎住院（每1000名女性中有0.90人），每年有近400,000人次因盆腔炎首次前往私人医生办公室就诊（每1000名女性中有7.2人）。急性盆腔炎的平均就诊率和住院率在20至24岁的女性以及非白人女性中最高。然而，到1987年至1988年，青少年的盆腔炎住院率最高。42%的急性盆腔炎住院患者和90%的慢性盆腔炎住院患者接受了手术。在此期间，急性盆腔炎的住院率下降了36%，而门诊率保持不变。
盆腔炎住院率的下降可能表明其发病率真正下降、医生住院治疗习惯的改变，或盆腔炎严重程度范围的变化。
