新丰县女性盆底功能障碍性疾病的流行病学研究

Epidemiological study of female pelvic floor dysfunction disease at Xinfeng County

目的 了解新丰县女性盆底功能障碍（PFD）患者压力性尿失禁及盆腔器官脱垂的发生率及相关因素,探讨盆底功能障碍的危险因素.方法 采用分层整群抽样法确定调查对象,以问卷调查结合妇科检查对1 902名妇女进行研究;采用单因素分析（x 2检验）和多因素Logistic回归分析筛选盆底功能障碍患者压力性尿失禁和盆腔器官脱垂的危险因素.结果 1 902名调查对象年龄在25 ～ 84岁之间,平均（51±10）岁;女性压力性尿失禁发病率40.1％（763/1 902）,盆腔器官脱垂发病率39.1％（744/1 902）,压力性尿失禁同时合并盆腔器官脱垂发病率38.0％（722/1 902）,盆底功能障碍性疾病发病率42.8％（814/1 902）;调查显示压力性尿失禁、盆腔器官脱垂发病率总趋势随年龄、阴道分娩次数增加而上升,其发病还包括绝经、职业、肥胖、长期腹压升高及分娩方式等危险因素.结论 根据盆底功能障碍的影响因素,应采取积极的预防措施,以防为主,降低盆底功能障碍发病率.

Objective To investigate the incidence and related factors of stress urinary incontinence and pelvic organ prolapse in women with pelvic floor dysfunction （PFD） at Xinfeng County.And to explore the risk factors of pelvic floor dysfunction.Methods Stratified cluster sampling was used to identify the subjects.1 902 women were investigated by questionnaire and took gynecological examination.Univariate analysis （x 2 test） and multivariate Logistic regression analysis were used to screen the risk factors of stress urinary incontinence and pelvic organ prolapse in the women.Results The 1 902 women＇s average age was 25-84,with an average of （51±10）.The incidence of female stress urinary incontinence was 40.1% （763/1 902）;the incidence of pelvic organ prolapse was 39.1% （744/1 902）;the incidence of stress urinary incontinence complicating with pelvic organ prolapse was 38.0% （722/1 902）;and the incidence of pelvic floor dysfunction was 42.8% （814/1 902）.The survey showed that the incidences of stress incontinence and pelvic organ prolapse increased with age and the number of vaginal deliveries;menopause,occupation,obesity,elevated abdominal pressure,delivery way,and other risk factors were the causes.Conclusion According to the influencing factors of pelvic floor dysfunction,active preventive measures should be taken to prevent the incidence of pelvic floor dysfunction.