摘要
目的 调查城市社区女性压力性尿失禁发生的危险因素。方法 按照 1∶8随机抽样的方法 ,抽取福州市鼓楼区 6 0 6 6例妇女。调查项目包括 :年龄、职业、文化程度、体重、血压、月经史、孕产史、分娩方式、新生儿体重、慢性疾病 (高血压、糖尿病、慢性咳嗽、习惯性便秘 )、腹腔或盆腔手术史、生活习惯 (吸烟、酗酒、体育锻炼方式等 )、尿失禁症状和发生频率、就医情况等。数据采用多因素回归分析。结果 问卷回收率为 92 1% (5 5 87/ 6 0 6 6 )。尿失禁发生率为 18 1% ,其中压力性尿失禁占8 8%。调查显示 ,诸因素中年龄 [OR :1 0 10 ;95 %可信限 (CI) :1 0 0 1～ 1 0 2 5 ]、高体重指数 (OR :1 0 92 ;95 %CI :1 0 5 4～ 1 132 )、高血压 (OR :2 342 ;95 %CI :1 0 2 6～ 5 349)、便秘 (OR :1 4 4 8;95 %CI :1 2 16～ 1 72 5 )、多次流产 (OR :1 30 6 ;95 %CI :1 113～ 1 5 33)、多次阴道分娩 (OR :1 2 0 5 ;95 %CI :1 0 0 9～ 1 4 4 0 )、加腹压助产 (OR :1 6 84 ;95 %CI :1 14 0～ 2 4 89)、会阴直切 (OR :2 2 4 4 ;95 %CI :1 16 2～ 4 334)、会阴裂伤 (OR :2 5 76 ;95 %CI :1 72 4～ 3 85 1)、会阴切口感染 (OR :5 988;95 %CI :1 936～ 18 6 16 )是尿失禁发生?
Objective The aim was to assess the prevalence of stress urinary incontinence (SUI) in community dwelling women and to assess the relationship between the various risk factors and this disease. Methods Selecting the community of Gulou at random and sending questionnaires to 6 066 women who living there.The questionnaire was designed to investigate the lower urinary tract symptoms,especially urinary incontinence.The questionnaire included some questions such as:age,weight,occupation,the level of education,menopause pregnancy and delivery,delivery through vagina or by cesarean section,the maximum body weight of fetus,chronic desease(hypertension,diabetes mellitus,cough,constipation), operation in abdomen and pelvis,the behaviour of life(smoking,alcohol abuse,exercise), the prevalence and frequency of urinary incontinence,the quality of life and the recognition of this disease.Results The collecting rate was 92.1% (5 587/6 066).The prevalence of urinary incontinence was 18.1% and the prevalence of SUI was 8.8%.Age( OR :1.010,95% CI :1.001～1.025),higher body mass index ( OR :1.092,95% CI :1.054～1.132), hypertension( OR :2.342,95% CI :1.026～5.349),constipation( OR :1.448,95% CI :1.216～1.725),multiple abortion( OR :1.306,95% CI :1.113～1.533),multipara ( OR :1.205,95% CI :1.009～1.440),using abdominal pressure in laboring ( OR :1.684,95% CI :1.140～2.489),straight cutting of perineum ( OR :2.244,95% CI :1.162～4.334),perineum tear( OR :2.576, 95% CI :1.724～3.851),infection of perineal incision ( OR :5.988,95% CI :1.936～18.616) were risk factors of SUI in women.Conclusion Many risk factors can cause urinary incontinence,among them age,pregnancy and childbirth are most important ones.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2003年第12期737-740,共4页
Chinese Journal of Obstetrics and Gynecology
基金
福建省科研基金资助项目 (2 0 0 0I0 13 )
