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[中国成年女性混合性尿失禁的流行病学研究]

[Epidemiological study of women adults with mixed urinary incontinence in China].

作者信息

Li Lin, Zhu Lan, Lang Jing-he, Han Shao-mei, Liu Chun-yan, Xu Tao

机构信息

Department of Obstetrics & Gynecology, Peking Union Medical College Hospital, Bejing, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2010 Jun 1;90(21):1487-90.

PMID:20973221
Abstract

OBJECTIVE

To investigate the prevalence and the epidemiological factors of female mixed urinary incontinence (MUI) in China.

METHODS

In February to July 2006, 19 024 subjects aged over 20 years old in 6 Chinese regions including Northwest, Southwest, Northern China, Eastern China, Northeast and South China were selected. Questionnaires were used to investigate the general characters and the lower urinary tract symptoms in these subjects.

RESULTS

The overall prevalence of mixed urinary incontinence was 9.4% among these women and it increased with advancing age. In multiple logistic models, age, vaginal delivery, constipation, pelvic organ prolapse, chronic pelvic pain, respiratory system disease, menstrual disorder, urinary system disease, alcohol consumption, pelvic surgery, obesity as well as high educational level were independent risk factors for mixed urinary incontinence.

CONCLUSION

The prevalence of MUI increases with advancing age. Vaginal delivery, constipation and pelvic organ prolapse are risk factors for mixed urinary incontinence in China while high educational level is a protective factor.

摘要

目的

调查中国女性混合性尿失禁(MUI)的患病率及其流行病学因素。

方法

2006年2月至7月,选取了中国西北、西南、华北、华东、东北和华南6个地区的19024名20岁以上的受试者。采用问卷调查这些受试者的一般特征和下尿路症状。

结果

这些女性中混合性尿失禁的总体患病率为9.4%,且随年龄增长而增加。在多因素logistic模型中,年龄、经阴道分娩、便秘、盆腔器官脱垂、慢性盆腔疼痛、呼吸系统疾病、月经紊乱、泌尿系统疾病、饮酒、盆腔手术、肥胖以及高学历是混合性尿失禁的独立危险因素。

结论

MUI的患病率随年龄增长而增加。在中国,经阴道分娩、便秘和盆腔器官脱垂是混合性尿失禁的危险因素,而高学历是保护因素。

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