论文部分内容阅读
目的:探讨中老年人膀胱过度活动症(overcative bladder,OAB)的危险因素。方法:以多级分层抽样方法对某地区进行现场横断面调查,三家医院联合抽取荆州市、潜江市及天门市15个社区中老年常住居民8 941例,通过面对面问卷调查,获得观察对象OAB及相关危险因素。结果:8 941例调查对象中,患病194例,患病率为2.17%,其中高血压史、吸烟史、饮酒史在两组人群中的差异无统计学意义(P>0.05);男性患病率为2.59%,高于女性1.96%;随年龄增加,患病率升高,70岁以上患病率为5.22%,高于其他年龄组;糖尿病患者患病率为2.86%,高于非糖尿病患者(1.96%);体重指数(BMI)增加,患病率增加,BMI大于30以上者患病率达4.55%,高于其他组;焦虑状态者患病率为2.87%,非焦虑状态者患病率为1.82%,差异均有统计学意义(P<0.05);将单因素分析有意义的指标进行多因素非条件的Logistic逐步回归分析,发现年龄、性别、是否合并糖尿病及BMI均为OAB发生的危险因素。结论:高龄、肥胖、男性和糖尿病为膀胱过度活动症的危险因素,临床以70岁以上糖尿病、男性肥胖患者为高危人群。
Objective: To explore the risk factors of overcative bladder (OAB) in the elderly. Methods: A multi-level stratified sampling method was used to conduct a cross-sectional site survey in a certain area. The three hospitals jointly collected 8 941 middle-aged and elderly resident residents from 15 communities in Jingzhou, Qianjiang and Tianmen. The questionnaires were used to obtain the observation objects OAB and related risk factors. Results: Among 8 941 subjects, the prevalence rate was 2.17% in 194 cases. There was no significant difference in history of hypertension, smoking history and drinking history between the two groups (P> 0.05). Male patients The prevalence rate was 2.59%, higher than that of female 1.96%. With the increase of age, the prevalence increased, the prevalence rate was 5.22% over the age of 70, higher than other age groups; the prevalence of diabetes was 2.86% (1.96%). The body mass index (BMI) increased and the prevalence increased. The prevalence rate of BMI> 30 was 4.55%, higher than other groups. The prevalence of anxiety was 2.87% The prevalence rate was 1.82%, the differences were statistically significant (P <0.05); the univariate analysis of meaningful indicators of multi-factor non-conditional Logistic stepwise regression analysis found that age, gender, diabetes mellitus and BMI were OAB risk factors. Conclusion: Elderly, obesity, men and diabetes are risk factors for overactive bladder. The patients with diabetes over 70 and obese men are at high risk.