1232例妇科门诊中老年女性盆底功能障碍性疾病状况调查  

A survey on the status of pelvic floor dysfunction in 1232 middle-aged and elderly women in gynecology clinic

作　　者：杨琳[1] 姚跟心 吴素慧[1] Yang Lin;Yao Genxin;Wu Suhui(Department of Obstetrics and Gynecology,Shanxi Bethune Hospital,The Third Hospital of Shanxi Medical Universityy Taiyuan Shanxi 030032,P.R.China)

机构地区：[1]山西医科大学第三医院山西白求恩医院妇产科,山西太原030032

出　　处：《中国计划生育和妇产科》2021年第8期35-38,共4页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的分析妇科门诊就诊的中老年女性盆底功能障碍性疾病(pelvic floor dysfunction,PFD)的患病情况及其影响因素。方法采用机会性调查的方法,对2019年1月至2020年8月于山西白求恩医院妇科专家门诊就诊的40岁及以上女性进行问卷调查,问卷资料包括一般情况及盆底功能障碍量表简易问卷表(Pelvic Floor Distress Inventory-Short Form 20,PFDI-20),对收集的问卷进行统计分析。结果总就诊中老年女性共2008人,回收调查问卷1270份,填写率63.24%,实际有效回收问卷1232份,有效率97%。1232例中老年女性平均年龄(51.81±7.80)岁,有PFD症状者占69.16%(852/1232),其中压力性尿失禁发生率最高,为38.56%(465/1232),而对该病的认知率为19.88%(245/1232),就诊率仅为8.52%(105/1232)。多因素Logistic分析显示,PFD的影响因素为月经情况、体质量指数、产次、首胎胎儿体重、子宫切除术史。结论PFD在中老年女性中患病率高,而认知率低、就诊率低,绝经、肥胖、多产、巨大儿是其危险因素。Objective To analyze the situation and influencing factors of female pelvic floor dysfunction(PFD)in middle-aged and elderly women in gynecological clinics.Methods Using an opportunistic survey method,a questionnaire investigation was conducted among women aged 40 years old and above who visited the gynecological specialist clinic of Shanxi Bethune Hospital from January 2019 to August 2020.The questionnaire data included general information and Pelvic Floor Distress Inventory-Short Form 20(PFDI-20).Statistical analysis of the collected questionnaires.Results The total number of middle-aged and elderly women visited the clinic was 2008.1270 questionnaires were collected,with a filling rate of 63.24%.1232 questionnaires were effectively collected,with an effective rate of 97%.The average age of 1232 middle-aged and elderly women was(51.81±7.80)years old,and 69.16%(852/1232)of them had symptoms of PFD.Among them,the incidence of stress urinary incontinence was the highest[38.56%,(465/1232)],while the awareness rate of the disease was 19.88%(245/1232),the consultation rate was only 8.52%(105/1232).Multivariate Logistic analysis showed that,the influencing factors of PFD were menstrual status,body mass index,delivery times,fetal weight,and history of hysterectomy.Conclusion The prevalence of PFD is high in middle-aged and elderly women,while the awareness rate and the consultation rate are low.Menopause,obesity,fertility,and macrosomia are risk factors for PFD.

关 键 词：女性盆底功能障碍性疾病 问卷调查 影响因素 防治 

分 类 号：R711[医药卫生—妇产科学]