Ng Soo-Cheen, Hu Suh-Woan, Chen Gin-Den
Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Institute of Oral Sciences, Chung Shan Medical University, Taichung, Taiwan.
Taiwan J Obstet Gynecol. 2017 Dec;56(6):811-814. doi: 10.1016/j.tjog.2017.10.019.
This is part of a three-year study designed to evaluate the natural history of lower urinary tract symptoms in local community residents aged 40 years and above in central Taiwan. We evaluated the prevalence of overactive bladder (OAB) and voiding dysfunction (VD) in female residents using validated questionnaires.
A structured questionnaire containing groups of different questionnaires was translated into Chinese and each one was validated separately. A trained research assistant interviewed the participants and assisted in filling in the questionnaires. Residents were recorded to have OAB if the total OABSS score was≧4. Urge urinary incontinence (UUI) was defined as urine leakage preceded by the feeling of urgency which is slightly or more distressful. VD was defined as feeling of difficulty in emptying the bladder which is slightly or more distressful.
A total of 2411 community residents aged 40 years and above who completed all the questionnaires in the initial survey were recruited, of which 1469(60.9%) were women. The prevalence of OAB, UUI and VD were 33.1%, 26.8% and 28.3% respectively in the female community residents. Age≧60 (OR, 1.5; 95%CI, 1.1-2.0), menopause (OR1.4; 95% CI, 1.0-1.9) and a history of diabetes mellitus (OR, 1.8; 95% CI, 1.2-2.8) were the risk factors for OAB. Age≧60 (OR, 1.4; 95%CI, 1.0-1.9), BMI ≧25 (OR, 1.3; 95% CI, 1.0-1.7) and instrument deliveries (OR, 1.5; 95% CI, 1.0-2.1) were the risk factors for VD.
Our results imply that the prevalence of overactive bladder and voiding difficulty are high in female community residents aged ≧ 40 years in central Taiwan.
这是一项为期三年研究的一部分，该研究旨在评估台湾中部40岁及以上当地社区居民下尿路症状的自然史。我们使用经过验证的问卷评估了女性居民中膀胱过度活动症（OAB）和排尿功能障碍（VD）的患病率。
一份包含不同问卷组的结构化问卷被翻译成中文，并且每个问卷都分别进行了验证。一名经过培训的研究助理对参与者进行访谈，并协助填写问卷。如果OABSS总分≥4，则记录居民患有OAB。急迫性尿失禁（UUI）被定义为在出现轻微或更严重困扰的急迫感之后发生的漏尿。VD被定义为排空膀胱时有轻微或更严重困扰的困难感。
总共招募了2411名40岁及以上在初始调查中完成所有问卷的社区居民，其中1469名（60.9%）为女性。女性社区居民中OAB、UUI和VD的患病率分别为33.1%、26.8%和28.3%。年龄≥60岁（OR，1.5；95%CI，1.1 - 2.0）、绝经（OR 1.4；95%CI，1.0 - 1.9）和糖尿病史（OR，1.8；95%CI，1.2 - 2.8）是OAB的危险因素。年龄≥60岁（OR，1.4；95%CI，1.0 - 1.9）、BMI≥25（OR，1.3；95%CI，1.0 - 1.7）和器械助产（OR，1.5；95%CI，1.0 - 2.1）是VD的危险因素。
我们的结果表明，台湾中部40岁及以上女性社区居民中膀胱过度活动症和排尿困难的患病率很高。
