广西地区壮族女性盆底功能障碍性疾病状况调查

Cross-sectional study of pelvic floor dysfunction among Zhuang women in Guangxi

目的调查广西地区壮族女性盆底功能障碍性疾病的患病率、患病相关因素及其症状表现。方法采用整群分层随机抽样的方法,抽取年龄≥18岁的广西地区壮族女性3000名,进行现场问卷调查和妇科检查。结果共2938名妇女有效填写了问卷,占97.9%。结果显示女性盆底功能障碍性疾病的患病率为22.6%(663/2938),其中压力性尿失禁患病率14.6%(428/2938),盆腔器官脱垂患病率9.3%(273/2938),联合患病率1.3%(38/2938)。结论广西地区壮族女性盆底功能障碍性疾病的患病率与国内其他地区相比偏低。高龄、多次分娩、阴道分娩、干重体力活、慢性肺部疾病、高体重指数是女性盆底功能障碍性疾病的高危因素。

Objective To investigate the prevalence, clinical symptoms and associated risk factors of female pelvic floor dysfunction （PFD） among Zhuang women in Guangxi. Methods Random cluster multistage sampling design was used in the study, 3000 Zhuang women above 18 years old who lived in Guangxi were recruited in this study. All women underwent pelvic examination and filled a epidemiologieal questionnaire about pelvic floor dysfunc- tion （PFD）. Results 2 938 questionnaires were returned （97.9%）. The prevalence of PFD was 22.6% in all, and the prevalence of stress urinary incontinence （SUI） and pelvic organ prolepse （POP） were 14.6% and 9.3%. Con- clusions Compared with other area in China, the prevalence of PFD was lower in Guangxi women. Vaginal deliver y, old age, multiple parity, heavy physical labor, chronic pulmonary disease and high body mass index are risk fac- tors for Pelvic Floor dysfunction （PFD）.