Griffiths A N, Makam A, Edwards G J
Department of Obstetrics and Gynaecology, The Royal Gwent Hospital, Newport, UK.
J Obstet Gynaecol. 2006 Jul;26(5):442-4. doi: 10.1080/01443610600747272.
The Department of Health in the UK recommends as good practice in continence services that opportunistic screening for urinary and anal incontinence is carried out by all healthcare professionals. The aim of this study was to record the prevalence of urinary and anal incontinence in a general gynaecology clinic. In addition, to ascertain the proportion of women with incontinence who wish further help and assess the current opportunistic screening for incontinence. Overall, the prevalence of urinary incontinence is 26.8% and the prevalence of mixed (urinary and anal) incontinence is 8.4% of women attending a general gynaecology clinic. The prevalence of both types of incontinence increases with the age of the women. Although a significant proportion wished to receive help, 61.6% of women with urinary incontinence were not specifically asked about urinary incontinence and 66.6% of women with anal or mixed incontinence were not specifically asked about anal incontinence. Our current screening for incontinence is unsatisfactory.
英国卫生部建议，在失禁服务方面，所有医疗保健专业人员都应进行尿失禁和肛门失禁的机会性筛查，这是一种良好做法。本研究的目的是记录普通妇科诊所中尿失禁和肛门失禁的患病率。此外，确定希望获得进一步帮助的失禁女性比例，并评估当前针对失禁的机会性筛查情况。总体而言，在普通妇科诊所就诊的女性中，尿失禁患病率为26.8%，混合性（尿失禁和肛门失禁）患病率为8.4%。两种类型的失禁患病率均随女性年龄增长而增加。尽管很大一部分人希望得到帮助，但61.6%的尿失禁女性未被专门询问尿失禁情况，66.6%的肛门失禁或混合性失禁女性未被专门询问肛门失禁情况。我们目前对失禁的筛查并不令人满意。
