论文部分内容阅读
目的:了解南京地区成年女性尿失禁的患病率、各种类型尿失禁的比例及相关影响因素。方法:采用整群分层随机抽样的方法抽取南京地区白下区、下关区18岁以上成年女性3 432人,采取调查员逐一入户进行问卷调查,采用亚太尿控协会尿失禁流行病调查表。从18岁起,每10岁为一个年龄段,分为6组。采用SPSS13.0录入数据,并采用Logistic多因素分析方法。结果:共获得有效问卷3 320份,其中已婚2 891人(87.1%),未婚429人(12.9%);未生育者494人(14.9%),生育1次、2次、3次、4次、5次、6次以上者分别占56.6%、16.3%、6.5%、4.2%、1.1%和0.4%;自然分娩者有2425人(85.8%),剖宫产者有401人(14.2%);1 407人(42.4%)为从事体力劳动者,1 913人(57.6%)为非体力劳动者;文盲70人(2.1%),小学292人(8.8%),中学1 289人(38.8%),专科1024人(30.8%),大学627人(18.9%),学士后教育18人(0.5%)。南京地区成年女性尿失禁的患病率为29.8%,压力性尿失禁、急迫性尿失禁、混合性尿失禁及其他尿失禁的患病率分别为18.9%、2.0%、7.8%、1.1%。南京地区压力性、急迫性、混合性及其他类型尿失禁的构成比分别为63.4%、6.7%、26.1%、3.9%。随着年龄的增长,压力性尿失禁、混合性尿失禁及其他尿失禁的患病率增加。结论:南京地区成年女性尿失禁患病率为29.8%,与国内其他地区相比偏低。其中以压力性尿失禁为主,占63.4%。高龄、多次分娩、阴道分娩、教育程度低、肥胖是女性尿失禁的高危因素。
Objective: To understand the prevalence of urinary incontinence among adult women in Nanjing, the proportions of various types of urinary incontinence and related factors. Methods: A total of 3 432 adult women over 18 years old in Baixia district and Xiaguan district of Nanjing area were sampled by stratified stratified random sampling. Investigators were interviewed one by one by questionnaire. The prevalence of urinary incontinence table. From the age of 18, every 10 years of age is divided into six groups. Using SPSS13.0 data entry, and using Logistic multivariate analysis. Results: A total of 3 320 valid questionnaires were obtained, of whom 2,891 were married (87.1%), 429 (12.9%) were unmarried, 494 (14.9%) were unmarried, 1, 2, 3 and 4 56.6%, 16.3%, 6.5%, 4.2%, 1.1% and 0.4% respectively, with 5 times or more than 6 times. There were 2425 spontaneous deliveries (85.8%) and 401 (14.2% ), 1,407 (42.4%) were engaged in manual work, 1,913 (57.6%) were non-manual workers, 70 were illiterate (2.1%), 292 were primary school students (8.8%), and 1 289 were middle school students %), 1024 (30.8%) in college, 627 (18.9%) in university and 18 (0.5%) in post-doctoral education. The prevalence of urinary incontinence among adult women in Nanjing was 29.8%. The prevalence rates of stress urinary incontinence, urge incontinence, mixed urinary incontinence and other incontinence were 18.9%, 2.0%, 7.8% and 1.1% respectively. The proportions of pressure, urgency, mixed sex and other types of urinary incontinence in Nanjing were 63.4%, 6.7%, 26.1% and 3.9% respectively. As they get older, the prevalence of stress incontinence, mixed urinary incontinence and other urinary incontinence increases. Conclusion: The prevalence of urinary incontinence among adult women in Nanjing area is 29.8%, which is lower than other regions in China. Among them, stress urinary incontinence was the main type, accounting for 63.4%. Elderly, multiple births, vaginal delivery, low education, obesity is a high risk factor for female incontinence.