女性压力性尿失禁发病现况及其相关因素分析

The analysis on incidences and the pathogenesis risk factors in female stress incontinence

目的调查女性压力性尿失禁的发病情况及相关发病因素。方法抽取妇科门诊行健康普查的年满18岁以上妇女进行问卷调查,发放问卷1250份,回收1250份,回收率100%。结果压力性尿失禁患病率35.41%,且妊娠及分娩次数多、阴道难产、会阴裂伤、急产、产后过早劳动、末次分娩年龄≥30岁、吸烟饮酒及合并有心血管疾病、糖尿病、尿路感染、子宫脱垂等都是发病的相关因素。结论压力性尿失禁是妇女的常见病,随年龄增加,患病率增加,而激素替代治疗及Kegel训练可以减少发病。

Objective To investigate the incidences and the pathogenesis risk factors in female stress incontinence. Methods Patients aged over 18 years old were enrolled by using designed questionnaires. 1,250 questionnaires were sent out and 1,250 were reclaimed, and 1,234 shares are valid. Results The total incidence of stress incontinence was 35.41%. The frequency of pregnancies and deliveries, vagina dystoria, perineum avulsion, urgent laboring, premature labor after delivery, smoking and drinking; co - morbidities including cardio vascular diseases, diabetes mellitus, urinary infections, genitalia tumor, and uterus prolapse were more likely prone to stress urinary incontinence. Conclusion Stress urinary incontinence is common in women. The disease rate increases correlated with age and administration of estrogen and Kegel exercises may reduce the incidence.