北京地区女性尿失禁影响因素及对患者生活质量影响的研究  

Study on risk factors and life quality of urinary incontinence among female adults in Beijing area

作　　者：葛静[1] 张奕[2] 鲁永鲜[1] 黎新宇[2] 林晖[2] 王全意[2] 

机构地区：[1]中国人民解放军总医院第一附属医院妇产科,北京100048 [2]北京市疾病预防控制中心传染病地方病控制所,北京100013

出　　处：《中华疾病控制杂志》2010年第6期552-555,共4页Chinese Journal of Disease Control & Prevention

基　　金：首都医学发展基金(20072032)

摘　　要：目的调查北京地区成年女性尿失禁(urinary incontinence,UI)的患病率、影响因素以及对患者生活质量的影响。方法本研究采用分层多阶段系统抽样的方法 ,由经过培训的调查员应用自填式问卷对北京市6个区(县)48个村(居委会)符合条件的调查对象进行入户调查,共计3058名20岁以上成年女性完成调查。数据分析应用SPSS16.0软件完成。结果根据调查问卷判断,本研究对象中UI患病率为22.1%。多因素非条件Logistic回归分析,UI的影响因素为:年龄(OR=1.27,95%CI:1.14～1.41)、慢性病(OR=2.39,95%CI:1.93～2.95)、剖宫产(OR=0.65,95%CI:0.46～0.90)、自感压力和疲劳(OR=1.18,95%CI:1.05～1.32)、排便时腹胀(OR=2.24,95%CI:1.57～3.19)、排不成形便(OR=1.65,95%CI:1.09～2.51)。UI对患者生活质量影响明显。不同类型的UI相比,压力性尿失禁(SUI)对患者生活质量影响的程度相对较轻,混合性尿失禁(MUI)对患者生活质量影响相对较重。结论 UI是对女性健康危害严重的一种常见病,人群干预和治疗亟待开展。Objective To investigate the prevalence and risk factors of urinary incontinence （UI） among female adults in Beijing area, and to examine the impact on life quality of UI patients. Methods Multiple stage stratified systematic sampling was used to select female adults from 48 study sites in 6 districts of Beijing, 3 058 females participated in the study and completed the questionnaire. The face to face investigation was conducted by trained staff. Data analysis was performed using SPSS 16.0. Results Based on the judging according to the standard questionnaire, the prevalence of UI among female adults in Beijing reached 22.1%. Age （OR=1.27,95% CI：1.14～1.41）, chronic diseases （OR=2.39,95% CI：1.93～2.95）, cesarean-section （OR=0.65,95% CI：0.46～0.90）, stress and fatigue （OR=1.18,95% CI：1.05～1.32）, abdominal distention （OR=2.24,95% CI：1.57～3.19）, semi-liquid stool （OR=1.65,95% CI：1.09～2.51） were entered the non-conditional Logistic regression model. Suffering UI has caused obvious impact on quality of life of patients. Impact by stress urinary incontinence is mild, and that by mixed urinary incontinence is severe. Conclusions UI is a common and severe disease among female adults, prevention and treatment should be taken seriously and immediately by health authority.

关 键 词：尿失禁 危险因素 生活质量 北京 

分 类 号：R181.2[医药卫生—流行病学] R694.54[医药卫生—公共卫生与预防医学]