Teleman Pia, Lidfeldt Jonas, Nerbrand Christina, Samsioe Göran, Mattiasson Anders
Department of Obstetrics and Gynecology, University Hospital, Lund, Sweden.
Acta Obstet Gynecol Scand. 2005 Nov;84(11):1108-12. doi: 10.1111/j.0001-6349.2005.00770.x.
To investigate the prevalence and perceived bother of lower urinary tract symptoms (LUTS) in middle-aged women with and without self-reported urinary incontinence.
In the Women's Health In the Lund Area study (WHILA 1995--2000), 32% of the participating 6,917 women, 50--59 years, reported urinary incontinence defined as involuntary urinary leakage causing a social and/or hygienic problem. Out of these, 1,500 women with (INCONT) and 1,500 without incontinence (CONT) received the Bristol Female lower urinary tract symptoms (LUTS) questionnaire in January 2001.
A total of 2,682 (89%) women were included. Most common LUTS in the INCONT and CONT groups, respectively, were any urinary leakage (93.8% vs. 53.3%, P<0.001), urgency (86.2% vs. 62.5%, P<0.001), stress incontinence (85.1% vs. 41%, P<0.001), and frequency (86.9% vs. 35.6%, P<0.001). The two groups differed significantly in the degree of reported bother by infrequently occurring stress and urge incontinence. Urinary leakage more than once a week was reported as bothersome by 97.5%. The prevalence of self-reported urinary incontinence increased from 32% to estimated 66% if the demand for social and/or hygienic bother was omitted from the definition. Conclusion. The prevalence of self-reported urinary incontinence increased from 32% to estimated 66%, if the demand for social and/or hygienic bother was omitted from the definition. LUTS other than incontinence are common in middle-aged women, with a significantly higher prevalence in women with self-reported incontinence than in continent women. The attitude towards stress- and urge incontinence varied widely when the symptoms occurred infrequently. Urinary leakage more than once a week was considered bothersome by 97.5%.
调查有和没有自我报告尿失禁的中年女性下尿路症状（LUTS）的患病率及自觉困扰程度。
在隆德地区女性健康研究（WHILA，1995 - 2000年）中，参与研究的6917名50 - 59岁女性中，32%报告有尿失禁，定义为非自愿性漏尿导致社会和/或卫生问题。其中，1500名有尿失禁的女性（INCONT）和1500名无尿失禁的女性（CONT）于2001年1月接受了布里斯托尔女性下尿路症状（LUTS）问卷。
共纳入2682名（89%）女性。INCONT组和CONT组最常见的LUTS分别为任何形式的尿失禁（93.8%对53.3%，P<0.001）、尿急（86.2%对62.5%，P<0.001）、压力性尿失禁（85.1%对41%，P<0.001）和尿频（86.9%对35.6%，P<0.001）。两组在偶尔发生的压力性和急迫性尿失禁的报告困扰程度上有显著差异。每周漏尿不止一次被报告为困扰的占97.5%。如果从定义中省略对社会和/或卫生困扰的要求，自我报告尿失禁的患病率从32%增至估计的66%。结论：如果从定义中省略对社会和/或卫生困扰的要求，自我报告尿失禁的患病率从32%增至估计的66%。除尿失禁外的LUTS在中年女性中很常见，自我报告有尿失禁的女性患病率显著高于无尿失禁的女性。当症状偶尔出现时，对压力性和急迫性尿失禁的态度差异很大。每周漏尿不止一次被97.5%的人认为是困扰。
