妇科门诊女性尿失禁患病率及危险因素调查  

Prevalence and risk factors of urinary incontinence in gynecologic clinic for female urinary incontinence

作　　者：叶明[1] 冯琼[1] 唐家龄[1] 李玉芳[1] 

机构地区：[1]广州医学院附属广州市妇婴医院妇产科,510180

出　　处：《中国妇幼保健》2006年第22期3108-3111,共4页Maternal and Child Health Care of China

摘　　要：目的：对广州市妇婴医院妇科门诊女性进行尿失禁的问卷调查，了解妇科门诊女性尿失禁患病现状。并对可能的危险因素进行调查。探索尿失禁可能的影响因素。方法：对2004年1月～2005年1月因非尿失禁因素就诊于广州市妇婴医院妇科门诊年满18岁的妇女进行尿失禁问卷调查。受调查总人数为2000例。结果：①妇科门诊女性尿失禁患病率为29．4％。②随年龄增加女性尿失禁的患病率也随之增加。③BMI、孕次，产次、不同的分娩方式、习惯性便秘、文化程度与尿失禁有关（x^2=23．675,P〈0．01；x^2=29．437,P〈0．01；x^2=42．592，P〈0．01；x^2=3．897。P〈0．05；x^2=3．837，P=0．05；x^2=9．276，P〈0．01）。④不同职业、居住环境、收入尿失禁患病率相近，，分别为0．115，0．548，0．230，P〉0．05。⑤Logistic逐步回归分析中协变量年龄、BMI、产次、泌尿系疾病、便秘和职业的OR值均大于1。结论：妇科门诊成年女性尿失禁患病率为29．4％。随着年龄的上升，尿失禁患病率总体呈上升趋势。单因素分析显示年龄、BMI、孕产次、分娩方式、某些慢性病、文化程度为尿失禁危险因素，收入、居住环境、职业与尿失禁无关。单因素分析结合Logistic逐步回归分析提示尿失禁是多因素综合的结果。Objective： To know the prevalence and risk factors of urinary incontinence in women seen in the Gynecologic clinic by a urinary incontinence questionnaires. Methods： From January 2004 to January 2005, 2000 patients （ ≥ 18 years old ） who came to the gynecologic clinic in Guangzhou Women and Infant Hospital, and whose complaint was not that of urinary incontinence were investigated. Results ： 1. The prevalence of female urinary incontinence in Gynecologic clinic was 29.4%. 2. The prevalence rate was increased with age. 3. The risk for urinary incontinence was increased with body mass index, the parity, pregnancy , operative vaginal delivery , some chronic diseases , constipation , less education. [X^2 =23.675 （P〈0.01）, X^2 =29.437 （P〈0.01）, X^2 =42.592 （P〈 0. 01 ） , X^2 = 3. 897 （ P 〈 0.05 ）, X^2 = 3. 837 （ P = 0. 05 ）, X^2 = 9. 276 （ P 〈 0. 01 ）] 4. No association was found between occupation, x^2 living environment, income and urinary incontinence, X^2 =0. 115, 0. 548, 0. 230 （P 〉0. 05） . 5. Unconditional multiple logistic regression analyses ： ORs for the variances of model （ age, BMI, parity, urinary tract infection, constipation） more than 1. Conclusion： The prevalence of female urinary incontinence in Gynecologic clinic is 29.4% and is increased with age. Age, BMI, delivery type, parity, preg- nancy, some chronic diseases and low education are risk factors for urinary incontinence in simple analyses. Income, living environment, occupation are not associated with urinary incontinence. Multiple logistic regression analyses and simple analyses show that urinary incontinence resulted from multiple factors.

关 键 词：尿失禁 患病率 危险因素 

分 类 号：R173[医药卫生—妇幼卫生保健]