洛阳市青少年女性尿失禁患病情况的流行病学调查

The prevalence of youngsters female urinary incontinence in Luoyang city

目的：调查洛阳市青少年女性尿失禁患病情况及其对生活质量的影响和患者对该病的认知和求治情况。方法：采用女性尿失禁症状问卷调查,对洛阳市初中、高中、大学在校女生整层随机抽样调查,由调查对象自己填写无记名式问卷。结果：发出问卷1800份,回收1776份,回收率98．67%,获得有效问卷1793份。初中、高中、大学女生尿失禁患病率分别为20．45%、10．44%、16．72%,总患病率为15．93%,其中SUI、UUI、MUI分别为10．18%、1．67%、4．08%,其构成比为63．90%、10．47%、25．63%。从总的调查来看,尿失禁与年龄和体重指数有关。46．05%的患者认为尿失禁是自然现象,33．35%不知该怎么办,8．55%很痛苦；仅8．19%因病就诊,91．81%未就诊,其中经济原因未就诊者占6．67%,准备就诊5．26%。就诊方向依次为妇产科医生、泌尿外科医生、长辈、其他和药店。结论：洛阳市青少年女性尿失禁患病率为15．93%。青少年女性尿失禁较高的患病率应引起高度重视,应加强对尿失禁的卫生宣传教育和治疗。

Objective：To investigate the prevalence of youngsters female urinary incontinence（UI） in Luoyang and its influence to the quality of life. Methods： An anonymous UI symptoms questionnaire and cluster random sampiing method were used in this study. Self-completed questionnaires were distributed to the female students in primary middle school, senior middle school and university of luoyang. Results： A total of 1800 questionnaires were issued, with 1776 retune, retune rate was 98.67%, and 1739 people completed questionnaires. In primary middle school, senior middle school and university, The prevalence of UI was 20.45 %. 10.44 %. 16.72 % respectively. The total incidence of UI was 15.93%, of which, SUI.UUI. MUI were 10. 18% .1.67% ,4.08% ,respectively. The form proportion was 63.90% .10.47% .25.63%. UI was found to relate with age and weight index from total investigation. UI was regarded as a natural phenomena in 46.05% subjects and 33.55% of them not know how to deal with it. UI causes distress in 8.55%. Only 5.26% of them plane to seek medical help, 91.81% of them have no desire of seeking treatment. Conclusions：The prevalence of youngsters female UI in luoyang was 15.93 %. This confirmed the high prevalence of youngsters female UI as previous studies did and suggested that more attention should be paid to this problem.