普通人群中的症状性盆腔器官脱垂及可能的危险因素
Symptomatic pelvic organ prolapse and possible risk factors in a general population.
作者信息
Slieker-ten Hove Marijke C Ph, Pool-Goudzwaard Annelies L, Eijkemans Marinus J C, Steegers-Theunissen Regine P M, Burger Curt W, Vierhout Mark E
机构信息
Department of Obstetrics and Gynecology, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
出版信息
Am J Obstet Gynecol. 2009 Feb;200(2):184.e1-7. doi: 10.1016/j.ajog.2008.08.070. Epub 2008 Dec 25.
OBJECTIVE
We sought to examine the prevalence of pelvic organ prolapse (POP) symptoms and risk factors in a general white population.
STUDY DESIGN
This was a cross-sectional study. All female residents aged 45-85 years in a small Dutch city received validated questionnaires. Women were classified as symptomatic if they reported feeling and/or seeing vaginal bulge.
RESULTS
Response rate was 62.7% (1869/2979). Prevalence of POP was 11.4%. Multivariate analysis revealed POP symptoms during pregnancy, a maternal history of POP, and heavy physical work, with a total population-attributable risk of 46%.
CONCLUSION
There is high prevalence of symptomatic POP in a general white population of which independent risk factors are POP symptoms during pregnancy, a maternal history of POP, and heavy physical work. Clinicians should focus on risk factors in counseling of (pregnant) women to inform women to be aware of further exposures for themselves and their daughters.
目的
我们试图调查普通白人人群中盆腔器官脱垂（POP）症状的患病率及其危险因素。
研究设计
这是一项横断面研究。荷兰一个小城市中所有年龄在45 - 85岁的女性居民都收到了经过验证的问卷。如果女性报告感觉和/或看到阴道肿物，则被归类为有症状。
结果
应答率为62.7%（1869/2979）。POP的患病率为11.4%。多变量分析显示，孕期出现POP症状、有POP的母亲病史以及从事重体力劳动是危险因素，人群归因风险总计为46%。
结论
在普通白人人群中，有症状的POP患病率较高，其独立危险因素为孕期出现POP症状、有POP的母亲病史以及从事重体力劳动。临床医生在为（怀孕）女性提供咨询时应关注这些危险因素，以便告知女性自身及其女儿要注意避免进一步接触相关因素。
Zotero 插件