摘要
目的研究杭州市老年女性盆底功能障碍性疾病(PFD)发生率及其影响因素。方法采用方便抽样抽取我市580例老年女性作为研究对象,采用一般资料问卷调查、常规妇科检查以及盆底功能影响问卷简版(PFIQ-7)对受试对象PFD发生率以及生活质量进行调查,并对其影响因素进行分析。结果 580例调查对象中,322(55.52%)名被确诊为PFD病人,以盆腔脱垂(24.14%)患病率最高。BMI(OR=7.24)、分娩次数(OR=1.48)、接受教育(OR=2.25)、吸烟(OR=1.76)、饮酒(OR=1.81)、分娩方式(OR=0.05)、家庭氛围(OR=0.43)、居住方式(OR=0.20)、职业(OR=0.38)是老年群体发生PFD的独立影响因素。PDF病人PFIQ-7总均分为(151.72±10.94)分,高于非PFD病人的(128.77±9.35)分(P<0.05)。结论 BMI增加、分娩次数增多、未接受教育、吸烟、饮酒均是老年女性发生PFD的危险因素,剖宫产、和谐的家庭氛围、非独居以及非体力劳动有利于降低PFD发生的风险。PFD对老年女性生活质量造成严重影响。
Objective To investigate the prevalence and associated influence factors of pelvic floor dysfunction（ PFD） in the elderly female in Hangzhou. Methods Convenient sampling method was used to select 580 elderly female as research objects. The general data questionnaire,conventional gynecological examination and pelvic floor impact questionnaire short form（ PFIQ-7） were used to evaluated the prevalence,influencing factors and quality of life. Results 322 cases（ 55. 52%） were diagnosed as PFD,and the prevalence of pelvic prolapsed（ 24. 14%） was the highest. Body mass index（ BMI）（ OR = 7. 24）,number of birth（ OR = 1. 48）,education（ OR = 2. 25）,smoking history（ OR =1. 76）,drinking history（ OR = 1. 81）,mode of delivery（ OR = 0. 05）,family atmosphere（ OR = 0. 43）,living style（ OR = 0. 20）,occupation（ OR = 0. 38） were independent influence factors for PFD. The total score of PFIQ-7 in PFD patients was 151. 72 ± 10. 94,which was significantly higher than that of the control group（ 128. 77±9. 35,P〈0. 05）. Conclusions The increase of BMI and delivery,low level of education,smoking and drinking are the risk factors,and the cesarean section,harmonious family atmosphere,non-solitary and non-manual labor are the ptotective factors for PFD in the elderly. PFD shows serious impact on quality of life in elderly female.
作者
戴清
张盈
DAI Qing ZHANG Ying(Department of Gynaecology, the Hospital of Zhejiang Provincial Public Security Frontier Corps, Hangzhou 310016, China)
出处
《实用老年医学》
CAS
2017年第5期443-446,共4页
Practical Geriatrics
