女性下尿路症状调查

Survey of female lower urinary tract symptoms

目的调查城市社区女性下尿路症状的发病情况.方法采用自我完成的问卷调查,问卷的大部分内容参考BFLUTS问卷,并根据国内具体情况进行调整.社区妇幼保健人员逐户入户调查发卷和收卷,并指导填写.结果调查共发出问卷6066份,回收5587份.答卷者中＞18岁者4745人.其中压力性尿失禁、急迫性尿失禁、尿急、尿频、夜尿的患病数分别为425例(9.0%)、113例(2.4%)、489例(10.3%)、72例(1.5%)、446例(9.8%).总贮尿症状患病率随着年龄增加而增加,18～27岁患病率为20.5%(104/507),28～37岁患病率为19.1%(332/1740),38～47岁患病率为22.5%(338/1503),48～57岁患病率为32.2%(202/628),58～64岁患病率为41.2%(61/148),65岁以上者发患率为58.0%(127/219),总患病率为24.5%.排尿延迟、排尿中断、增加腹压排尿、不能完全排空膀胱、排尿疼痛等症状的患病率分别为7.0%(330例)、4.1%(194例)、4.6%(217例)、4.9%(233例)、4.8%(229例).总排尿症状患病率随着年龄增加而增加,18～27岁患病率为13.0%(66/507),28～37岁患病率为9.3%(162/1740),38～47岁患病率为10.7%(161/1503),48～57岁患病率为13.2%(83/628),58～64岁患病率为16.2%(24/148),65岁以上者患病率为26.9%(59/219),总患病率为11.7%.结论社区女性下尿路症状患病率较高,其中排尿症状比贮尿症状患病率低.

Objective To investigate the prevalence of lower urinary tract symptoms in women in a community in Fuzhou. Methods We designed a patient-completed questionnaire according to Bristol Female Lower Urinary Tract Symptoms (BFLUTS) questionnaire.A few parts of the questionnaire were adjusted based on living habits and social backgrounds in our country.The health care workers distributed and collected the questionnaires and instructed the women to fill in them one by one. Results A total of 6066 questionnaires were distributed and 5587 were collected. Of the responders 4745 women were more than 18 years. The prevalence of stress incontinence, urgency incontinence,urgency,frequency and nocturia were 9.0% (425/4745),2.4% (113/4745),10.3% (489/4745),1.5% (72/4745) and 9.8% (446/4745),respectively.The prevalence of storage symptoms increased with age,showing a 20.5%(104/507) in 18~27 years’ group,19.1% (332/1740) in 28~37,22.5%(338/1503) in 38~47,32.2%(202/628) in 48~57,41.2%(61/148) in 58~64,58.0% (127/219) in ≥65 years’ group. The overall prevalence was 24.5%.The prevalence of delayed urinary,intermittent stream,increased abdominal urination, incomplete emptying and voiding pain were 7.0%(330 cases),4.1%(194),4.6% (217),4.9% (233) and 4.8%(229),respectively.The prevalence of general voiding dysfunction increased with age,showing a 13.0% (66/507) in 18~27 years’ group,9.3% (162/1740) in 28~37,10.7%(161/1503) in 38~47,13.2%(83/628) in 48~57,16.2% (24/148) in 58~64 and 26.9%(59/219) in ≥65 years’ group.The overall prevalence was 11.7%. Conclusions The prevalence of lower urinary tract symptoms are high in community-dwelling women,and the prevalence of storage symptoms are more common than that of voiding dysfunction in these women.