甘肃省女性尿失禁的流行病学调查及影响因素的多因素Logistic分析  

Regional Cross-sectional Epidemiological Research and Multivariate Logistic Analysis on Female Urinary Incontinence in Gansu Province

作　　者：刘青[1] 仇杰[1] 龙丽霞[1] 邓晓辉[1] 朱兰[2] 李致远[1] 吕玲[1] 李怡林[1] 

机构地区：[1]甘肃省妇幼保健院,甘肃兰州730050 [2]中国医学科学院北京协和医院,北京100730

出　　处：《实用妇产科杂志》2012年第10期830-833,共4页Journal of Practical Obstetrics and Gynecology

基　　金：国家十一五科技支撑计划项目资助(编号:2007BAI04B05)

摘　　要：目的:了解甘肃省女性尿失禁的流行状况,探讨相关影响因素。方法:对甘肃省东、西、中部地区部分城镇及农村20岁以上成年女性,采用分层、整群随机抽样的方法,抽取2700例进行女性尿失禁症状调查问卷,包括基本情况、尿失禁生活质量问卷、女性下尿路症状国际尿失禁标准问卷(ICIQ-FLUTS)现场调查。结果:获得有效问卷2603份。被调查对象年龄≥20岁,平均41.2±13.4岁。甘肃省女性尿失禁的平均患病率为41.3%(n=1074),其中压力性尿失禁、急迫性尿失禁、混合性尿失禁的患病率分别为19.9%(n=517)、2.7%(n=69)、18.6%(n=485),压力性尿失禁为最主要的一类。随着年龄的增长,混合性尿失禁患病率明显增加。多因素Logistic回归分析表明:体重指数、产次、饮酒、盆腔手术、便秘、慢性盆腔痛、盆腔脏器脱垂、会阴裂伤是尿失禁发生的危险因素。高文化水平、高经济收入、剖宫产、产后缩肛训练是其保护因素。结论:甘肃省成年女性尿失禁患病率较高,其中以压力性尿失禁为主。高体重指数、饮酒、便秘、慢性盆腔痛、盆腔脏器脱垂及多产、分娩时会阴裂伤等是尿失禁发生的危险因素,而提高文化水平、经济收入及产后进行缩肛训练等能一定程度预防和降低尿失禁的发生。Objective ：To estimate the prevalence of urinary incontinence （UI） in Gansu province and to assess the related risk factors for UI. Methods： Through level-based community random sample method,2700 women （20 years of age） who lived in cities and rural areas in Gansu province were interviewed through a questionnaire including basic characteristics, life qualities questionnaire on urinary incontinence, International Consultation on Incontinence Questionnaire Female Low Urinary Tract Symptoms Module （ICIQ-FLUTS）. Results：A total of 2603 questionnaires were completed. The age of these women were all 20 years or older, mean 41.2 ＋ 13.4; the prevalence of UI was 41.3 % （ n = 1 074）, among these women, 19.9% （n =517） had stress UI, 2.7% （ n =69） urge UI and 18.6% （ n =485） mixed UI, the major type was stress UI. The prevalence of mixed UI strongly increased with age. In multiple logistic models, Higher BMI, parity, alcohol drinking, pelvic operating history, constipation, chronic pelvic pain, pelvic organ pro- lepses, perineum tear were potential risk factors for UI. Higher education level, higher income status, cesarean section, postpartum pelvic floor muscle training were protective factors for UI. Conclusions. The prevalence of UI is high（41.3% ）, stress UI is the major type （19.9%）. We should pay attention to the risk factors of urinary incontinence including higher BMI, parity, alcohol drinking, pelvic operating history, constipation, chronic pelvic pain, pelvic organ prolepses, perineum tear. Improving the educational level and incomes or suitable postpartum exercises to strength pelvic floor muscles can decrease the incidence rate of UI.

关 键 词：尿失禁 危险因素 LOGISTIC回归分析 流行病学 

分 类 号：R694.54[医药卫生—泌尿科学]