福州中国女性下尿路症状的患病率及危险因素
Prevalence and risk factors of lower urinary tract symptoms in Fuzhou Chinese women.
作者信息
Zhang Wenju, Song Yanfeng, He Xiaoyu, Xu Bo, Huang Huijuan, He Chunni, Hao Lan, Li Yaqin
机构信息
Department of Gynecology and Obstetrics, Dongfang Hospital, No 156 Xihuanbei Road, Fuzhou, China, 350025.
出版信息
Eur Urol. 2005 Aug;48(2):309-13. doi: 10.1016/j.eururo.2005.03.003. Epub 2005 Mar 22.
AIMS
To evaluate the prevalence and associated risk factors of lower urinary tract symptoms (LUTS).
METHODS
We randomly sampled 6066 women (3.0% of registered female residents aged 20 years and older in Fuzhou) and mailed Bristol Female Lower Urinary Tract Symptoms questionnaire to women for self-completion. 4684 (77.2%) women with evaluable data were included in this study.
RESULTS
The prevalence of LUTS, voiding symptoms, storage symptoms was 39.7%, 13.4%, 37.3%, respectively. Among voiding symptoms, the prevalence of hesitancy, slow stream, intermittence, straining, terminal dribble, splitting was 6.8%, 5.5%, 4.8%, 4.5%, 4.1%, 3.5%, respectively. Among storage symptoms, stress incontinence, urge incontinence, urgency, frequency, nocturia, enuresis was 16.6%, 10.0%, 10.2%, 16.4%, 9.9%, 3.9%, respectively. A multiple logistic regression analysis showed menopause, parity > 2, constipation, fetal birthweight, and episiotomy were common potential risk factors for LUTS, voiding and storage symptoms. Higher BMI increased the occurrence of LUTS and storage symptoms, while cesarean delivery and labor protected against the development of storage symptoms.
CONCLUSIONS
The prevalence of LUTS in Chinese women is lower than that of most reports in Occidental women. The prevalence of LUTS increases with age.
目的
评估下尿路症状（LUTS）的患病率及相关危险因素。
方法
我们随机抽取了6066名女性（占福州市20岁及以上登记在册女性居民的3.0%），并向她们邮寄布里斯托尔女性下尿路症状问卷以供自行填写。本研究纳入了4684名（77.2%）有可评估数据的女性。
结果
LUTS、排尿症状、储尿症状的患病率分别为39.7%、13.4%、37.3%。在排尿症状中，排尿犹豫、尿流缓慢、尿流中断、排尿费力、尿末滴沥、尿线分叉的患病率分别为6.8%、5.5%、4.8%、4.5%、4.1%、3.5%。在储尿症状中，压力性尿失禁、急迫性尿失禁、尿急、尿频、夜尿、遗尿的患病率分别为16.6%、10.0%、10.2%、16.4%、9.9%、3.9%。多因素逻辑回归分析显示，绝经、分娩次数>2次、便秘、胎儿出生体重和会阴切开术是LUTS、排尿和储尿症状常见的潜在危险因素。较高的体重指数增加了LUTS和储尿症状的发生风险，而剖宫产和经阴道分娩可预防储尿症状的发生。
结论
中国女性LUTS的患病率低于大多数西方女性的报道。LUTS的患病率随年龄增长而增加。
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