中国急迫性尿失禁的流行病学研究及危险因素
Epidemiological study of urge urinary incontinence and risk factors in China.
作者信息
Zhu Lan, Lang Jinghe, Liu Chunyan, Xu Tao, Liu Xiaochun, Li Lin, Wong Felix
机构信息
Department of O/G, Peking Union Medical College Hospital, Beijing, People's Republic of China.
出版信息
Int Urogynecol J. 2010 May;21(5):589-93. doi: 10.1007/s00192-009-1041-4. Epub 2010 Feb 24.
INTRODUCTION AND HYPOTHESIS
To evaluate the prevalence and risk factors of urge urinary incontinence (UUI) in Chinese adult women.
METHODS
A cross-sectional study using the multistaged random sampling method. Twenty thousand Chinese women aged >or=20 years were interviewed.
RESULTS
Of the women aged 20-99 years, the prevalence of UUI was 2.6%, which increased with age. Age, waist circumstance, constipation, chronic pelvic pain, history of gynecological diseases, and menopausal status were independent risk factors of UUI. Women aged 60 or above were 2.329 times more likely to suffer UUI as compared to women aged 20-40. Women in perimenopausal or postmenopausal status were, respectively, 1.766 or 2.285 times more likely to suffer UUI as compared to women in normal menstruation. However, parity and mode of delivery were not risk factors.
CONCLUSIONS
The prevalence of UUI is 2.6% among Chinese adult women. Age is a major independent risk factor of UUI.
引言与假设
评估中国成年女性急迫性尿失禁（UUI）的患病率及危险因素。
方法
采用多阶段随机抽样方法进行横断面研究。对20000名年龄≥20岁的中国女性进行了访谈。
结果
在20 - 99岁的女性中，UUI患病率为2.6%，且随年龄增长而升高。年龄、腰围、便秘、慢性盆腔疼痛、妇科疾病史及绝经状态是UUI的独立危险因素。60岁及以上女性患UUI的可能性是20 - 40岁女性的2.329倍。围绝经期或绝经后女性患UUI的可能性分别是月经正常女性的1.766倍或2.285倍。然而，产次和分娩方式并非危险因素。
结论
中国成年女性中UUI的患病率为2.6%。年龄是UUI的主要独立危险因素。
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