摘要
目的调查北京郊区女性尿失禁及盆腔器官脱垂发病情况及其对生活质量的影响。方法按照整群抽样的方法,选取生活在北京市房山区某自然村18岁以上的常住已婚女性,进行问卷调查,并行妇科检查和B超检查。结果全村符合调查的女性202人,回收问卷190份,应答率94.1%。调查结果显示,尿失禁的患病率为67例(35.3%)。子宫脱垂49例(25.8%),阴道前壁膨出79例(41.6%),阴道后壁膨出61例(32.1%)。尿失禁对女性日常生活、情绪和性生活的影响率分别为29.9%、23.9%、29.9%,尿失禁以轻度尿失禁为主(占82.1%),尿失禁合并子宫脱垂占31.3%,合并阴道前壁膨出59.7%,合并阴道后壁膨出44.8%。结论整群抽样调查显示,北京郊区女性尿失禁及盆腔脏器脱垂均较常见,尿失禁患者多合并盆腔脏器脱垂,尤其是阴道前壁膨出,并对生活质量有较大影响。
Objective To investigate the prevalence of urinary incontinence and pelvic organ prolapse, and to analyze the effects of urinary incontinence on the quality of life of women living in Beijing suburb. Methods The women who live in a natural village of Beijing suburb, older than 18 years old were recruited. The questionnaires were completed about urinary incontinence, followed by pelvic examination and B ultrasound. Results Two hundred and two women met the criteria in the village and 190 completed questionnaires were collected. The response rate was 94.1%. The prevalence of urinary incontinence was 35.3 % in all, and about 73.9 % in women older than 60 years. The prevalence of stress urinary incontinence （SUI）, urge urinary incontinence （UUI） and mixed urinary incontinence （MUI） were 24. 7%, 5.8% and 4. 7%, respectively. Thirty- four percent women felt their life had been considerably influenced by the urinary incontinence. Among the women with UI, sexual activity was affected in 29.9%, and emotion was affected in 23.9%. UI complicated with uterine prolapse, anterior vaginal wall prolapse and posterior vaginal wall prolapse were 31.3%, 59.7% and 44.8%, respectively. Conclusions Female urinary incontinence and pelvic organ prolapse are common diseases in Beijing suburb. The urinary incontinence usually complicates with pelvic organ prolapse and affects the quality of life significantly.
出处
《中国妇产科临床杂志》
2007年第1期5-9,共5页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
尿失禁
盆腔脏器脱垂
流行病学
生活质量
urinary incontinence
pelvic organ prolapse
epidemiology
life quality
