尿失禁和盆腔器官脱垂女性中肛门失禁的患病率及其与生活质量的关系。
Prevalence of and quality of life related to anal incontinence in women with urinary incontinence and pelvic organ prolapse.
机构信息
Federal University of Rio de Janeiro, Brazil.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2012 Feb;160(2):228-31. doi: 10.1016/j.ejogrb.2011.11.009. Epub 2012 Jan 17.
OBJECTIVE
To investigate the prevalence of anal incontinence (AI) in woman with urinary incontinence (UI) and pelvic organ prolapse (POP). We also evaluated the impact on quality of life (QoL).
STUDY DESIGN
One hundred and ninety patients with UI or POP and 73 controls were recruited. AI was investigated by the Wexner index and the prevalence rates were obtained in all groups. Patients with AI completed the Fecal Incontinence Quality of Life questionnaire (FIQL). QoL was assessed using the Medical Outcome Study 36-item Short Form Health Survey (SF-36).
RESULTS
AI prevalence was 40.54% in the UI group and 27.91% in the POP group (p<0.0001). In the UI and POP groups correlations were found between the Wexner score and the domains of the FIQL and SF36.
CONCLUSION
The UI group had higher prevalence of AI than the other groups. The AI adversely affected the QoL of patients.
目的
调查尿失禁（UI）和盆腔器官脱垂（POP）女性中肛门失禁（AI）的患病率。我们还评估了对生活质量（QoL）的影响。
研究设计
招募了 190 名 UI 或 POP 患者和 73 名对照者。通过 Wexner 指数调查 AI，并在所有组中获得患病率。有 AI 的患者完成了粪便失禁生活质量问卷（FIQL）。使用医疗结局研究 36 项简明健康调查（SF-36）评估 QoL。
结果
UI 组 AI 患病率为 40.54%，POP 组为 27.91%（p<0.0001）。在 UI 和 POP 组中，Wexner 评分与 FIQL 和 SF36 的各域之间存在相关性。
结论
UI 组 AI 的患病率高于其他组。AI 对患者的 QoL 产生不利影响。
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