贵州省40~60岁女性尿失禁的流行病学调查及其对生活质量的影响研究  

Epidemiological Survey of Urinary Incontinence and Its Impact on Quality of Life in Women Aged 40-60 Years in Guizhou Province

作　　者：吴春艳 邓映岚 赵平 胡仕秀 吴小燕 朱焱[1] 黎香彦 谢正州 王蓉 高艳 杨秀英 许海娜 卢然 冉利梅[1,11] WU Chunyan;DENG Yinglan;ZHAO Ping;HU Shixiu;WU Xiaoyan;ZHU Yan;LI Xiangyan;XIE Zhengzhou;WANG Rong;GAO Yan;YANG Xiuying;XU Haina;LU Ran;RAN Limei(School of Public Health,the Key Laboratory of Environmental Pollution Monitoring and Disease Control,Ministry of Education,Guizhou Medical University,Guiyang 561113,China;Department of Gynaecology,Qian Xi Nan People's Hospital,Xingyi 562499,China;Department of Gynaecology,Zhi Jin Maternity and Child Care Hospital,Bijie 552102,China;Department of Gynaecology,Bo Zhou District Maternity and Child Care Hospital,Zunyi 563102,China;Department of Gynaecology,San Sui Maternity and Child Care Hospital,Qiandongnan 556599,China;Department of Gynaecology,Pu Ding County People's Hospital,Anshun 562100,China;Department of Gynaecology,Xi Feng Maternity and Child Care Hospital,Guiyang 551199,China;Department of Gynaecology,Qian Nan Maternity and Child Care Hospital,Duyun 558099,China;Department of Gynaecology,Na Yong People's Hospital,Bijie 553300,China;Department of Gynaecology,Mei Tan Maternity and Child Care Hospital,Zunyi 564199,China;Health Management Center,Affiliated Hospital of Guizhou Medical University,Guiyang 550500,China)

机构地区：[1]贵州医科大学公共卫生与健康学院环境污染与疾病监控教育部重点实验室,贵州省贵阳市561113 [2]贵州省兴义市黔西南州人民医院妇科,562499 [3]贵州省毕节市织金县妇幼保健院妇科,552102 [4]贵州省遵义市播州区妇幼保健院妇科,563102 [5]贵州省黔东南州三穗县妇幼保健院妇科,556599 [6]贵州省安顺市普定县人民医院妇科,562100 [7]贵州省贵阳市息烽县妇幼保健院妇科,551199 [8]贵州省都匀市黔南州妇幼保健院妇科,558099 [9]贵州省毕节市纳雍县人民医院妇科,553300 [10]贵州省遵义市湄潭县妇幼保健院妇科,564199 [11]贵州医科大学附属医院健康体检中心,贵州省贵阳市550500

出　　处：《中国全科医学》2024年第10期1252-1260,共9页Chinese General Practice

基　　金：贵州省科技计划项目(黔科合成果-LC【2022】003);中国健康促进基金会博士联盟项目(横向课题);贵州医科大学附属医院院内课题项目(2021-GMHCT-011);贵阳市科技计划项目(科筑合同【2022】-4-2-1)。

摘　　要：背景尿失禁好发于40~60岁女性,其对女性身体健康及生活质量可造成严重影响。目的了解贵州省40~60岁女性尿失禁的患病率及其影响因素,以及尿失禁对生活质量的影响。方法于2022年6月—2023年1月,选取贵州省7个地区10家医院行健康体检的40~60岁女性为研究对象,采用自制的一般资料调查表收集研究对象的基本资料,分别采用国际尿失禁咨询委员会女性下尿路症状问卷量表(ICIQ-FLUTS)和尿失禁生活质量问卷(I-QoL)测定研究对象尿失禁的严重程度和生活质量水平,根据国际尿控协会(ICS)制定的诊断标准,判断尿失禁类型,包括压力性尿失禁、急迫性尿失禁和混合性尿失禁。采用多因素Logistic回归分析探究尿失禁的影响因素,并探究不同尿失禁类型和尿失禁的严重程度对患者生活质量的影响。结果共发放问卷3000份,回收有效问卷2966份,有效回收率为98.9%。2966名研究对象中,尿失禁的患病率为33.4%(991/2966),其中压力性尿失禁患病率为20.1%(596/2966),急迫性尿失禁患病率为2.0%(58/2966),混合性尿失禁患病率为11.4%(337/2966)。多因素Logistic回归分析显示,体育锻炼、月经情况、产次、盆腔器官脱垂史、会阴裂伤、会阴侧切是压力性尿失禁的影响因素(P<0.05);盆腔手术史、流产次数、新生儿体质量是急迫性尿失禁的影响因素(P<0.05);腰围、慢性盆腔疼痛史、盆腔器官脱垂史、会阴裂伤是混合性尿失禁的影响因素(P<0.05)。混合性尿失禁患者I-QoL总分、行为限制得分、心理影响得分、社会活动障碍得分均低于压力性尿失禁和急迫性尿失禁(P<0.05);重度尿失禁患者I-QoL总分、行为限制得分、心理影响得分、社会活动障碍得分均低于轻度和中度患者(P<0.05)。结论贵州省40~60岁女性尿失禁的患病率较高,为33.41%,不同类型尿失禁的影响因素不同,混合性尿失禁和重度尿失禁对患者生活质量的影响最�Background Urinary incontinence often occurs in women aged 40-60 years and contributes to a significant impact on women's physical health and quality of life.Objective To explore the prevalence and influencing factors of urinary incontinence and its impact on quality of life in women aged 40-60 years in Guizhou Province.Methods From June 2022 to January 2023,women aged 40-60 years who underwent health checkups in 10 hospitals in 7 regions of Guizhou Province were selected as the study subjects.A self-designed general data questionnaire was used to collect the basic data of the study subjects,and International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms(ICIQ-FLUTS)and Incontinence Quality of Life Measure(I-QoL)were used to determine the severity of urinary incontinence and the level of quality of life of the study subjects,respectively.Different types of incontinence,including stress incontinence,urge incontinence,and mixed incontinence,were determined according to the diagnostic criteria established by the International Continence Society(ICS).Multivariate Logistic regression analysis was used to explore the influencing factors of urinary incontinence,and explore the effects of different types and severity levels of urinary incontinence on patients'quality of life.Results A total of 3000 questionnaires were distributed,and 2966 valid questionnaires were collected,with a valid recovery rate of 98.9%.The prevalence of urinary incontinence among the 2966 study subjects was 33.4%(991/2966),including 20.1%(596/2966)for stress incontinence,2.0%(58/2966)for urge incontinence,and 11.4%(337/2966)for mixed incontinence.Multivariate Logistic regression analysis showed that physical exercise,menstrual status,parity,history of pelvic organ prolapse,perineal laceration,and lateral episiotomy were the influencing factors of stress incontinence(P<0.05);history of pelvic surgery,number of miscarriages,and neonatal weight were the influencing factors of urge incontinence(P<0.05),waist circumferen

关 键 词：尿失禁 尿失禁 压力性 尿失禁 急迫性 混合性尿失禁 生活质量 流行病学 贵州省 

分 类 号：R694.54[医药卫生—泌尿科学]