Disinfection Supply Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China.
Department of Gynecology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China.
Ann Palliat Med. 2020 May;9(3):979-984. doi: 10.21037/apm-20-784. Epub 2020 May 8.
Female pelvic floor dysfunction (PFD), a common disease affecting women, has attracted a significant amount of attention in the field of obstetrics and gynecology in recent years. Pelvic floor disorders can induce urinary incontinence, vaginal prolapse and other dysfunction, which seriously affect the quality of life of patients. This study aimed to analyze the current status of PFD in urban women in Xi'an City.
A total of 1300 women in the urban area of Xi'an City were selected based on a multi-stage sampling method. A face-to-face questionnaire survey and gynecological examination were carried out, and the prevalence rates of stress urinary incontinence (SUI) and pelvic organ prolapse (POP) and PFD were calculated, Multivariate logistic regression analysis was performed to analyze the risk factors of PFD in urban women in Xi'an City.
The effective questionnaire recovery rate was 76.69% (997/1,300). The number of patients with SUI, POP, and SUI combined POP were 124 (55.11%), 64 (28.44%) and 37 (16.44%), respectively, and the prevalence of PFD was 22.57% (225/997). Multivariate logistic regression analysis showed that the risk of PFD in women with vaginal delivery, delivery times ≥2, menopause or prolonged labor was higher than that in women with cesarean section, delivery times of 1, no menopause, or no prolonged labor (P<0.05).
The prevalence rate of PFD in urban women in Xi'an City cannot be ignored, especially women who have experienced vaginal delivery, delivered ≥2 children, menopause, or prolonged labor. It may be necessary to prioritize these women so as to actively prevent and control PFD.
女性盆底功能障碍（PFD）是一种常见的影响女性的疾病，近年来在妇产科领域受到了极大关注。盆底功能障碍可引起尿失禁、阴道脱垂等功能障碍，严重影响患者的生活质量。本研究旨在分析西安市城区女性 PFD 的现状。
采用多阶段抽样方法，选取西安市城区 1300 名女性。通过面对面问卷调查和妇科检查，计算压力性尿失禁（SUI）、盆腔器官脱垂（POP）及 PFD 的患病率，采用多因素 logistic 回归分析西安市城区女性 PFD 的危险因素。
有效问卷回收率为 76.69%（997/1300）。SUI、POP 及 SUI 合并 POP 患者分别为 124 例（55.11%）、64 例（28.44%）和 37 例（16.44%），PFD 患病率为 22.57%（225/997）。多因素 logistic 回归分析显示，经阴道分娩、分娩次数≥2、绝经或产程延长者 PFD 发病风险高于剖宫产、分娩次数 1 次、未绝经、未产程延长者（P<0.05）。
西安市城区女性 PFD 患病率不容忽视，尤其是经阴道分娩、分娩次数≥2 次、绝经或产程延长者，可能需要优先关注这些女性，积极预防和控制 PFD。
