高明区老年女性压力性尿失禁发病情况调查

Investigation on the Incidence of Stress Urinary Incontinence Among Elderly Women in Gaoming District

目的了解高明区老年女性压力性尿失禁发病情况。方法选取2019年1月~12月佛山市高明区≥60岁老年女性作为研究对象,采用国际尿失禁咨询委员会尿失禁问卷表简表及尿失禁诊断问卷进行调查,分析高明区老年女性压力性尿失禁的患病情况。结果共发放5720份调查问卷,剔除不合格问卷100份,收回合格的问卷5620份,有效回收率为98.25%;5620名老年女性中共1939名患有尿失禁,其中压力性尿失禁1669例,患病率为29.70%,急迫性尿失禁90例,患病率为1.60%,混合型尿失禁180例,患病率为3.20%;患有慢性支气管炎、糖尿病、高血压病、慢性便秘的患者,SUI患病率高于无慢性病患者,差异有统计学意义(P<0.05);阴道分娩产次、阴道助产史、产后劳动强度及盆腔手术史与SUI患病率有关(P<0.05),分娩方式与SUI患病率无关(P>0.05)。结论高明区老年女性压力性尿失禁患病率高,由多因素导致,应针对高危因素进行宣传教育及防治。

Objective To understand the incidence of stress urinary incontinence in elderly women in Gaoming District.Methods From January to December 2019,elderly women≥60 years old in Gaoming District,Foshan City were selected as the research objects.The International Urinary Incontinence Advisory Committee Urinary Incontinence Questionnaire and Urinary Incontinence Diagnostic Questionnaire were used to investigate the prevalence of stress urinary incontinence among elderly women in Gaoming District.Results A total of 5720 questionnaires were distributed,100 unqualified questionnaires were eliminated,5620 qualified questionnaires were recovered,and the effective recovery rate was 98.25%;A total of 1939 out of 5620 elderly women suffer from urinary incontinence,including 1669 cases of stress urinary incontinence,with a prevalence rate of 29.70%,and 90 cases of urge incontinence,with a prevalence rate of 1.60%.180 cases of mixed urinary incontinence,the prevalence rate was 3.20%;The prevalence of SUI in patients with chronic bronchitis,diabetes,hypertension,and chronic constipation was higher than that in patients without chronic diseases,the difference was statistically significant(P<0.05);The frequency of vaginal delivery,the history of vaginal delivery,postpartum labor intensity and the history of pelvic surgery are related to the prevalence of SUI(P<0.05).The mode of delivery has nothing to do with the prevalence of SUI(P>0.05).Conclusion The prevalence of stress urinary incontinence among elderly women in Gaoming District is high.It is caused by multiple factors.The high-risk factors should be promoted and prevented.