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[北京女性尿失禁患病率及相关危险因素研究]

[The study on the prevalence and associated risk factors of female urinary incontinence in Beijing women].

作者信息

Zhu Lan, Lang Jing-he, Wang Hong, Han Shao-mei, Liu Chun-yan

机构信息

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100730, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2006 Mar 21;86(11):728-31.

Abstract

OBJECTIVES

To evaluate the prevalence, the clinical characteristics and associated risk factors of urinary incontinence in Beijing women.

METHODS

In the cross-sectional study, 5300 Beijing women aged over 20 years were interviewed through a questionnaire including International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms Module (ICIQ-FLUTS). Aged from 20 to 99 years old (mean 46 +/- 17). Divided into 8 groups every 10 years. 4812 cases are married.

RESULTS

The overall prevalence of UI was 38.5% (2008/5221), among theses women, 22.9% (1197/5221), had stress incontinence, 2.8% (147/5221) urge incontinence and 12.4% (649/5221) mixed incontinence. In multiple logistic models, age, delivery mode, smoking, hypertension, constipation, body mass index, chronic pelvic pain (CPP) were relation factors for stress incontinence.

CONCLUSIONS

The prevalence of urinary incontinence is high (38.5%). Urinary incontinence is major disease that affects female quality of life. 22.9% (1197/5221) of the incontinence women had stress urinary incontinence, 2.8% (147/5221) urge urinary incontinence and 12.4% (649/5221) mixed urinary incontinence. Old, vaginal delivery, smoking, hypertension, constipation, CPP and higher BMI are potential risk factors for stress urinary incontinence. Cesarean section are protective factors for stress urinary incontinence.

摘要

目的

评估北京女性尿失禁的患病率、临床特征及相关危险因素。

方法

在这项横断面研究中,通过一份包含国际尿失禁咨询问卷女性下尿路症状模块(ICIQ-FLUTS)的问卷,对5300名年龄超过20岁的北京女性进行了访谈。年龄在20至99岁之间(平均46±17岁)。每10年分为8组。4812例已婚。

结果

尿失禁的总体患病率为38.5%(2008/5221),在这些女性中,22.9%(1197/5221)为压力性尿失禁,2.8%(147/5221)为急迫性尿失禁,12.4%(649/5221)为混合性尿失禁。在多因素logistic模型中,年龄、分娩方式、吸烟、高血压、便秘、体重指数、慢性盆腔疼痛(CPP)是压力性尿失禁的相关因素。

结论

尿失禁患病率较高(38.5%)。尿失禁是影响女性生活质量的主要疾病。22.9%(1197/5221)的失禁女性为压力性尿失禁,2.8%(147/5221)为急迫性尿失禁,12.4%(649/5221)为混合性尿失禁。年龄较大、经阴道分娩、吸烟、高血压、便秘、CPP和较高的BMI是压力性尿失禁的潜在危险因素。剖宫产是压力性尿失禁的保护因素。

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