Skoner M M, Thompson W D, Caron V A
School of Nursing, University of Southern Maine, Portland.
Nurs Res. 1994 Sep-Oct;43(5):301-6.
The purpose of this study was to investigate risk factors for stress urinary incontinence. Using a case-control method, 140 women with and without stress urinary incontinence were recruited from three private physician practices and interviewed by telephone. The final sample included 94 cases and 46 controls, with a mean age of 51.5 and 54.3 years, respectively. Having any vaginal birth versus having only cesarean sections was associated with a substantial increase in risk for stress urinary incontinence. Episiotomy or tear during delivery was associated with a 3.78-fold increase in risk, but high parity (four or greater) was not a strong predictor. Having a mother with stress urinary incontinence was associated with a substantial increase in risk. Statistically significant associations were also found for multiple urinary tract infections.
本研究的目的是调查压力性尿失禁的危险因素。采用病例对照法，从三家私人医生诊所招募了140名有或无压力性尿失禁的女性，并通过电话进行访谈。最终样本包括94例病例和46例对照，平均年龄分别为51.5岁和54.3岁。经阴道分娩与仅行剖宫产相比，压力性尿失禁的风险大幅增加。分娩时会阴切开术或撕裂与风险增加3.78倍相关，但高胎次（四次或更多）并不是一个强有力的预测因素。母亲患有压力性尿失禁会使风险大幅增加。还发现多次尿路感染存在统计学上的显著关联。
