摘要
目的:了解广州地区成年女性尿失禁发病率及影响因素。方法:运用亚太控尿咨询委员会问卷对2003-10因非尿失禁因素就诊于广州市妇婴医院妇科门诊年满18岁的居住在广州地区满1年的妇女338人进行问卷调查。结果:①广州地区成年妇性尿失禁发病率为34.3%。②随年龄的上升,尿失禁发病率总体呈上升趋势。③不同分娩方式后尿失禁发病率的高低依次为:产钳吸引产>顺产>剖宫产。④盆腔手术史、人体质量指数、职业、文化程度、收入、居住环境、如厕方式与发病率无关。⑤某些慢性疾病如:泌尿系统疾病、慢性支气管炎、非外伤性骨折等影响尿失禁的发生。结论:广州地区成年女性尿失禁发病率为34.3%,与国际、国内相近。较高的发病率应引起泌尿外科与妇科医生的重视。年龄、分娩对盆底组织的损伤可能是导致尿失禁的一个原因。
AIM:To investigate the incidence rate and the influencing factor of urinary incontinence(UI) of adult female in Guangzhou city. METHODS:Totally 338 female residents above 18 years old of Guangzhou city who were treated in the Department of Gynecology of Guangdong Medical Hospital in October 2003 for non incontinence factors, were investigated with the Asia Pacific Counseling Community for urinary control questionnaire. RESULTS:①The incidence rate of UI of adult female in Guangzhou city was 34.3%.②There was a significant increase in the incidence rate of UI with aging.③The incidence rate of UI in women after delivering pattern from high to low was in those with obstetrical forceps or vacuum extraction >spontaneous delivery > cesarean.④The incidence rate of UI had no association with pelvic surgery,body mass index, vocation, educational level,income, living condition and toileting mode.⑤Some chronic diseases,such as urinary system disease,chronic bronchitis and non traumatic fracture,affected the UI incidence. CONCLUSION:The incidence rate of UI of adult females in Guangzhou city is 34.3%,which is similar to the national and international ones.The higher prevalence should be paid attention to by urologist and gynecologist.The age and the injury of pelvic floor induced by delivery may be the risk factors of UI.The influence of biological factor may be greater than that of environment and society.
出处
《中国临床康复》
CSCD
2004年第27期5806-5808,共3页
Chinese Journal of Clinical Rehabilitation
