妇科就诊女性的肛门失禁：患病率、危险因素及对生活质量的影响。
Anal incontinence in women presenting for gynecologic care: prevalence, risk factors, and impact upon quality of life.
作者信息
Boreham Muriel K, Richter Holly E, Kenton Kimberly S, Nager Charles W, Gregory W Thomas, Aronson Michael P, Vogt Val Y, McIntire Don D, Schaffer Joseph I
机构信息
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Texas Southwesten Medical Center, Dallas, USA.
出版信息
Am J Obstet Gynecol. 2005 May;192(5):1637-42. doi: 10.1016/j.ajog.2004.11.030.
OBJECTIVE
The purpose of this study was to estimate the prevalence and impact upon quality of life of anal incontinence (AI) in women aged 18 to 65.
STUDY DESIGN
Consecutive women presenting for general gynecologic care were given a bowel function questionnaire. Women with AI were prompted to complete the Fecal Incontinence Severity Index (FISI) and Fecal Incontinence Quality of Life Scale (FIQL).
RESULTS
The cohort was composed of 457 women with a mean age of 39.9 +/- 11 years. AI prevalence was 28.4% (95% CI 24.4-32.8). After logistic regression, IBS (OR 3.22, 1.75-5.93), constipation (OR 2.11, 1.22-3.63), age (OR 1.05, 1.03-1.07), and BMI (OR 1.04, 1.01-1.08) remained significant risk factors. The mean FISI score was 20.4 +/- 12.4. Women with only flatal incontinence scored higher, and women with liquid loss scored lower on all 4 scales of the FIQL.
CONCLUSION
AI is prevalent in women seeking benign gynecologic care, and liquid stool incontinence has the greatest impact upon quality of life.
目的
本研究旨在评估18至65岁女性肛门失禁（AI）的患病率及其对生活质量的影响。
研究设计
对前来接受普通妇科护理的连续女性进行肠道功能问卷调查。患有AI的女性被要求完成大便失禁严重程度指数（FISI）和大便失禁生活质量量表（FIQL）。
结果
该队列由457名女性组成，平均年龄为39.9±11岁。AI患病率为28.4%（95%可信区间24.4 - 32.8）。经过逻辑回归分析，肠易激综合征（OR 3.22，1.75 - 5.93）、便秘（OR 2.11，1.22 - 3.63）、年龄（OR 1.05，1.03 - 1.07）和体重指数（OR 1.04，1.01 - 1.08）仍然是显著的风险因素。FISI平均得分为20.4±12.4。仅存在排气失禁的女性在FIQL的所有4个量表上得分较高，而存在液体便失禁的女性得分较低。
结论
AI在寻求良性妇科护理的女性中很常见，且液体便失禁对生活质量的影响最大。
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