北京市西城区女性盆底功能障碍性疾病影响因素分析

Analysis of influencing factors of pelvic floor functional disorders for female in Xicheng District of Beijing

目的分析北京市西城区女性盆底功能障碍性疾病(PFD)影响因素,并进行个体化干预。方法选取316例行"两癌筛查"的女性为研究对象。采用整群抽样方法,综合调查问卷、盆腔器官脱垂定量分度法(POP-Q)评分和盆底肌力检测对研究对象进行分析。结果PFD患病率随年龄增加而增高,尿失禁的总患病率为48.42%,盆腔器官脱垂(POP)的总患病率为51.90%。年龄、慢性咳嗽、慢性盆腔痛、子宫肌瘤、绝经是尿失禁发生的相关危险因素。体质量指数(BMI)、高血压、会阴侧切裂伤、剖宫产、绝经是POP发生的相关危险因素。结论PDF相关危险因素较多,应针对性采取有效预防或干预措施,以提高患者生活质量。

Objective To analyze the influencing factors of pelvic floor dysfunction(PFD)for female in Xicheng District of Beijing,and to conduct individualized intervention.Methods A total of 316 females who had undergone"two kinds of cancer screening"were selected as the study subjects.The subjects were analyzed by cluster sampling,comprehensive questionnaire,Pelvic Organ Prolapse Quantification(POP-Q)score and pelvic floor muscle strength test.Results The prevalence of PFD increased with age growth,the total prevalence of urinary incontinence was 48.42%,and that of pelvic organ prolapse(POP)was 51.90%.Age,chronic cough,chronic pelvic pain,uterine fibroids and menopause were related risk factors for the occurrence of urinary incontinence.Body mass index(BMI),hypertension,lateral incision of the oerineum,cesarean section and menopause were related risk factors for the occurrence of POP.Conclusion There are many risk factors related to PDF,and effective prevention or intervention measures should be taken to improve the quality of life of patients.