北京地区成年女性压力性尿失禁患病情况调查及影响因素分析  

Prevalence and influencing factors of stress incontinence among adult females in Beijing

作　　者：崔颖 高雪[1] CUI Ying;GAO Xue(Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100078,China)

机构地区：[1]首都医科大学附属北京友谊医院,北京100078

出　　处：《华南预防医学》2024年第6期516-519,523,共5页South China Journal of Preventive Medicine

基　　金：北京市卫生科技发展专项基金资助项目(No.2022-2-765)。

摘　　要：目的 对北京地区成年女性的压力性尿失禁患病情况进行调查,并分析相关影响因素。方法 于2023年1—6月采用分层整群抽样方法对北京地区成年女性进行问卷调查及妇科检查,采用描述性分析方法对压力性尿失禁患病情况进行分析,并采用单、多因素分析方法对压力性尿失禁的影响因素进行分析。结果 本研究共对1 621名成年女性进行调查,其中372例女性诊断为压力性尿失禁,患病率为22.95%。多因素分析结果显示,年龄(OR=2.859)、BMI(24.0~27.9 kg/m^(2)OR=1.964,≥28.0 kg/m^(2)OR=2.278)、绝经(OR=2.119)、产次≥2次(OR=2.035)、经阴道分娩史(OR=1.558)、会阴侧切(OR=1.621)、盆底器官脱垂(OR=2.722)、合并糖尿病(OR=2.360)、焦虑(OR=2.869)、长期便秘(OR=2.357)、每日坐位时间>2 h(OR=1.805)、口服避孕药(OR=2.478)、憋尿习惯(OR=1.996)是成年女性压力性尿失禁患病的影响因素。结论 北京地区成年女性压力性尿失禁的患病率较高,且受影响因素较多;可通过盆腔功能训练,改变不良生活行为习惯等措施积极预防疾病发生。Objective To investigate the prevalence of stress incontinence among adult females in Beijing and analyze the related influencing factors.Methods From January to June 2023,a multi-stage stratified cluster sampling method was used to conduct a questionnaire survey and gynecological examination on adult females in Beijing.The descriptive analysis was used to analyze the prevalence of stress incontinence,and univariate and multivariate analyses were used to analyze the influencing factors of stress incontinence.Results A total of 1 621 adult females were investigated in this study,of whom 372 were diagnosed with stress incontinence,with a prevalence rate of 22.95%.Multivariate analysis showed that age(OR=2.859),BMI index(OR= 1.964 for 24.0-27.9 kg/m^(2),OR=2.278 for ≥28.0 kg/m^(2)),menopause(OR=2.119),parity ≥ 2 times(OR= 2.035),history of vaginal delivery(OR= 1.558),lateral episiotomy(OR= 1.621),pelvic floor organ prolapse(OR=2.722),diabetes mellitus(OR=2.360),anxiety(OR= 2.869),long-term constipation(OR=2.357),sitting time >2 hours per day(OR=1 805),oral contraceptives(OR= 2.478),and urine holding habits(OR=1.996) were influencing factors for stress incontinence among adult females.Conclusions The prevalence rate of stress incontinence is high among adult females in Beijing,and there are numerous contributing factors.The condition can be effectively prevented through pelvic function training,adopting healthier lifestyle habits,and other measures.

关 键 词：成年女性 压力性尿失禁 影响因素 

分 类 号：R173[医药卫生—妇幼卫生保健] R493[医药卫生—公共卫生与预防医学]