约旦年轻女孩的初潮年龄与泌尿系统症状有关吗？一项前瞻性横断面研究。
Is age of menarche related to urinary symptoms in young Jordanian girls? A prospective cross-sectional study.
作者信息
Al-Mehaisen Lama M M, Bani Hani Osama M K, Al-Kuran Oqba A H
机构信息
Department of Obstetric and Gynaecology, King Abdullah University Hospital Medical School, Jordan University of Science and Technology, Irbid, Jordan.
Medical School, University of Jordan, Jordan.
出版信息
J Taibah Univ Med Sci. 2018 May 31;13(4):332-337. doi: 10.1016/j.jtumed.2018.04.009. eCollection 2018 Aug.
OBJECTIVES
Urinary incontinence (UI) is highly prevalent worldwide, especially in women. This study hypothesized that the age of menarche, a developmental landmark, may be a risk factor for the development of UI.
METHODS
This prospective, cross-sectional study was conducted on girls presenting to the gynaecology outpatient clinic at King Abdullah University Hospital, Jordan, from 2013 to 2014. Medical history and demographic data were collected, and associations between age of menarche and urinary problems were examined.
RESULTS
The study enrolled 360 girls (mean age 17.60 ± 4.01 years). Of the participants, 101 (28.9%) reported experiencing urgency in urination, 23 (6.6%) had UI, 17 (4.9%) reported using urine pads at night, 23 (6.6%) had recurrent urinary infections, 61 (12.3%) had received treatment for UI, and 43 (12.3%) had been treated for urinary infections. Nocturia was significantly more frequently reported in younger girls at their first period (p = 0.02). Other urinary problems during menstruation, such as urge incontinence, were significantly associated with older age at first period (p = 0.05).
CONCLUSION
Age of menarche represents an important risk indicator for later development of UI in women.
目的
尿失禁（UI）在全球范围内高度流行，尤其是在女性中。本研究假设月经初潮年龄这一发育里程碑可能是尿失禁发生的一个风险因素。
方法
这项前瞻性横断面研究于2013年至2014年对约旦阿卜杜拉国王大学医院妇科门诊的女孩进行。收集病史和人口统计学数据，并检查月经初潮年龄与泌尿问题之间的关联。
结果
该研究纳入了360名女孩（平均年龄17.60±4.01岁）。在参与者中，101人（28.9%）报告有尿急，23人（6.6%）有尿失禁，17人（4.9%）报告夜间使用尿垫，23人（6.6%）有复发性尿路感染，61人（12.3%）接受过尿失禁治疗，43人（12.3%）接受过尿路感染治疗。初潮时年龄较小的女孩夜尿症报告频率显著更高（p = 0.02）。月经期间的其他泌尿问题，如急迫性尿失禁，与初潮时年龄较大显著相关（p = 0.05）。
结论
月经初潮年龄是女性日后发生尿失禁的一个重要风险指标。
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