北京地区成年女性混合性尿失禁流行病学研究  

The prevalence and risk factors of mixed urinary incontinence among adult women in Beijing

作　　者：葛静[1] 张奕[2] 鲁永鲜[1] 黎新宇[2] 杨鹏[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

出　　处：《中国预防医学杂志》2011年第7期581-585,共5页Chinese Preventive Medicine

基　　金：首都医学发展基金资助项目(20072032)

摘　　要：目的调查北京地区成年女性混合性尿失禁（mixed urinary incontinence,MUI）的患病率、影响因素及对生活质量的影响。方法本研究通过分层多阶段系统抽样的方法,在北京市6个区县48个调查点,对3 058名20岁以上成年女性进行问卷调查。问卷内容包括调查对象人口统计学信息、MUI可疑危险因素及MUI对生活质量影响。应用SPSS 11.5统计分析软件进行数据分析。结果本研究调查对象的MUI患病率为7.49%（229/3 058）,MUI患病率随着年龄增长逐渐增高。多因素logistic回归结果显示,MUI的危险因素有：年龄（OR40-=3.21,95%CI：1.62-6.36;OR50-=6.58,95%CI：3.38-12.84;OR60-=6.15,95%CI：2.68-14.13;OR70-=15.28,95%CI：7.15-32.65）、职业为工人或农民（OR=2.46,95%CI：1.42-4.26）、会阴裂伤（OR=1.60,95%CI：1.01-2.54）、妇科疾病史（OR=4.02,95%CI：2.70-5.99）、粪失禁（OR=2.75,95%CI：1.06-7.14）。MUI对患者生活质量的影响最主要表现为担心漏尿问题随着年龄增长而日益严重。结论 MUI是严重影响成年女性生活质量的常见疾病,影响因素复杂,应加强对MUI的防治工作。Objective To investigate the prevalence and risk factors of mixed urinary incontinence（MUI）,and to examine its influence on the quality of life among adult women.Methods A multiple stage stratified systematic sampling method was applied to select adult women from 48 sampling sites in the 6 districts of Beijing.3 058 adult women participated in the study and completed the questionnaire,which included the demographic characteristics and natural history of MUI,as well as influence on the quality of life.Data analysis was performed with SPSS 11.5.Results The prevalence of MUI was 7.5%（229/3 058）in Beijing,which increased with age.A logistic regression model suggested that the risk factors of MUI included age（OR40-49 yrs=3.21,95%CI=1.62-6.36;OR50-59 yrs=6.58,95%CI=3.38-12.84;OR60-69 yrs=6.15,95%CI= 2.68-14.13;OR70-=15.28,95%CI=7.15-32.65）,being a farmer（OR=2.46,95%CI=1.42-4.26）,perineal laceration（OR=1.60,95%CI=1.01-2.54）,history of gynecological diseases（OR=4.02,95%CI=2.70-5.99）and fecal incontinence（OR=2.75,95%CI=1.06-7.14）.The quality of life was affected by being afraid of UI aggravating by age among the most of MUI women.Conclusion MUI is common and associated with different risk factors among adult women.Prevention and treatment should be enhanced,especially to senior women population.

关 键 词：女性 混合性尿失禁 影响因素 生活质量 

分 类 号：R694.5[医药卫生—泌尿科学] R181.3[医药卫生—外科学]