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目的探究海岛地区女性盆腔器官脱垂的程度及发病率,研究其发病的危险因素。方法采用分层随机抽样方法,对浙江舟山市社区896例成年妇女进行问卷调查、一般检查以及妇科检查。对盆腔器官脱垂程度及发病率进行统计,并使用单因素分析及多因素Logistic回归分析筛选发生盆腔器官脱垂的危险因素。结果 896例调查对象平均年龄(43.7±17.2)岁,盆腔器官脱垂患病率为22.10%。盆腔器官脱垂发病率与年龄成正比。通过Logistic回归分析,显示年龄≥40岁,阴道分娩次数≥2,BMI≥24,绝经妇女,患有糖尿病,重体力劳动者,文化程度低于初中水平是盆腔器官脱垂的危险因素。结论海岛地区女性盆腔器官脱垂的发病率为22.10%,针对各个危险因素应进行早期干预,预防盆腔器官脱垂的发生。
Objective To investigate the degree and incidence of pelvic organ prolapse in island area and to study the risk factors of its occurrence. Methods A stratified random sampling method was used to survey 896 adult women in community of Zhoushan, Zhejiang Province. The questionnaire survey, general examination and gynecological examination were conducted. The degree and incidence of pelvic organ prolapse were statistically analyzed. Univariate analysis and multivariate logistic regression analysis were used to screen the risk factors of pelvic organ prolapse. Results The average age of 896 subjects was 43.7 ± 17.2 years. The prevalence of pelvic organ prolapse was 22.10%. Pelvic organ prolapse incidence is proportional to age. Logistic regression analysis showed that the age ≥ 40 years old, the number of vaginal delivery ≥ 2, BMI ≥ 24, menopausal women, suffering from diabetes, heavy manual workers, education is lower than the level of junior high school pelvic organ prolapse risk factors. Conclusion The incidence of pelvic organ prolapse in island area is 22.10%. Early intervention should be conducted according to various risk factors to prevent the occurrence of pelvic organ prolapse.