武汉市围绝经期妇女压力性尿失禁患病率及影响因素的调查

Investigate of prevalence rate and influencing factors of stress urinary incontinence among menopausal women in Wuhan

目的调查武汉市围绝经期妇女压力性尿失禁（stress urinary incontinence,SUI）的患病率及影响因素。方法 2014年4~10月,对武汉市常青花园社区卫生服务中心参加健康检查的40~65岁妇女采用自拟问卷调查其基本特征及尿失禁症状,分析影响SUI的危险因素。结果 1 067名受调查者中SUI的患病率为32.24%。单因素逻辑分析结果显示：高血压、心脏病、萎缩性阴道炎、便秘、盆腔器官脱垂是SUI的危险因素（P〈0.05）;多因素逻辑分析结果显示：心脏病、便秘、盆腔器官脱垂是SUI的独立危险因素（P〈0.05）。结论武汉社区围绝经期妇女SUI发病率高,SUI的潜在危险因素有高血压、心脏病、萎缩性阴道炎、便秘和盆腔器官脱垂。

Objective To evaluate the prevalence and related risk factors of stress urinary incontinence（ SUI） in perimenopause women of Wuhan. Methods Women aged 40 to 65 years who took health examination in Changqin Community Health Service Centers in Wuhan from April 2014 to October 2014 were selected and interviewed face to face by questionnaires to investigate their basic feature and symptoms of SUI,and to analyze risk factors influencing SUI. Results In 1067 women surveyed,the prevalence rate of SUI was32. 24 %. Univariate logistic analysis revealed hypertension,heart disease,atrophic vaginitis,constipation and pelvic organ prolapse were risk factors of SUI（ P〈0. 05）. Multiple logistic regression revealed that heart disease,constipation,pelvic organ prolapse were independent risk factors of SUI（ P〈0. 05）. Conclusion The prevalence of SUI is high in Wuhan menopausal women. The hypertension,heart disease,constipation and pelvic organ prolapse are potential risk factors of SUI.