老年女性盆腔器官脱垂发病的相关危险因素研究

Study on related risk factors of pelvic organ prolapse in elderly women

目的:探讨老年女性盆腔器官脱垂发病的危险因素,为其预防提供理论依据。方法:采用成组病例对照研究的方法,从医院收集146例盆腔脏器脱垂患者,以年龄为匹配条件,从体检中心选择292例健康体检者作为对照组。设计调查问卷,对两组妇女进行调查。结果:经过多因素非条件Logistic回归分析显示:BMI>24(OR=4.456,95%CI:0.327～1.946),产次(OR=3.246,95.0%CI:0.425～8.343),慢性咳嗽(OR=2.347,95.0%CI:0.567～13.364),便秘(OR=2.342,95.0CI%:0.457～14.354),盆腔手术史(OR=3.735,95.0%CI:0.952～7.853)是盆腔器官脱垂发生的危险因素。结论:BMI>24,产次,慢性咳嗽,便秘,盆腔手术史是盆腔器官脱垂的独立危险因素。

Objective：To explore the risk factors of pelvic organ prolapse in elderly women,and provide a theoretical basis for preventing the disease.Methods：A paired case-control study was conducted to collect 146 patients with pelvic organ prolapse from the hospital,age was designed as one matching condition,then 292 cases receiving health physical examination in physical examination center were selected as control group.A self-designed questionnaire was used to survey the women in the two groups.Results：The results of non-conditional multivariate logistic regression analysis showed that body mass index（BMI） 24（OR=4.456,95%CI： 0.327-1.946）,parity（OR=3.246,95.0%CI： 0.425-8.343）,chronic coughing（OR=2.347,95.0%CI： 0.567-13.364）,constipation（OR=2.342,95.0CI%： 0.457-14.354）,history of pelvic surgery（OR=3.735,95.0%CI： 0.952-7.853） were risk factors of pelvic organ prolapse.Conclusion：BMI24,parity,chronic coughing,constipation,and history of pelvic surgery are independent risk factors of pelvic organ prolapse.