乌海市女性慢性盆腔疼痛患者的临床特征及相关因素分析

Analysis of clinical features and related factors of female patients with chronic pelvic pain in Wuhai City

目的研究乌海市慢性盆腔疼痛(CPP)成年女性患者的临床特征,并分析其影响因素,为防治该疾病提供临床依据。方法选取1672例妇科门诊就诊患者,采用改良版盆腔疼痛评估表对患者进行评估,判断CPP临床特征,通过单因素分析、多因素Logistic回归分析CPP影响因素。结果共发放调查问卷1672份,回收有效问卷1659份,有效率为99.22%。1659例患者中,CPP患者1020例(61.48%),非CPP患者639例(38.52%)。CPP起因主要为分娩后(37.35%)与月经初潮(36.67%)。疼痛发作诱因多为单因素(72.06%)。疼痛部位集中在下腹部(53.82%),会阴部(36.76%)。主要通过保暖(38.33%)、休息(31.37%)与药物治疗(31.47%)缓解疼痛。发病过程中,多数疼痛部位固定(66.86%)。与排尿相关的疼痛过半(56.76%)。存在肛门直肠症状居多(59.71%)。CPP组与非CPP组在体质量指数(BMI)、孕次、产次、学历、肛门直肠症状、是否漏尿方面比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,肛门直肠症状、漏尿、学历是CPP发病的影响因素(P<0.05)。结论CPP易合并焦虑状态,当患者出现肛门直肠症状、漏尿的相关症状,需加强重视,及时治疗可预防与改善CPP。

ObjectiveTo study the clinical characteristics of adult female patients with chronic pelvic pain(CPP)in Wuhai City,and analyze its influencing factors,so as to provide clinical basis for prevention and treatment of CPP.Methods 1672 gynecological outpatient patients were selected,and the modified pelvic pain assessment table was used to evaluate the clinical characteristics of CPP,and the influencing factors of CPP were analyzed by univariate analysis and multivariate Logistic regression.Results A total of 1672 questionnaires were distributed and 1659 valid questionnaires were collected,with an effective rate of 99.22%.Among the 1659 patients,1020(61.48%)were CPP patients and 639(38.52%)were non-CPP patients.The main causes of CPP postpartum(37.35%)and were menarche(36.67%).Most of the causes of pain attack were single factors(72.06%).The pain was concentrated in the lower abdomen(53.82%)and perineum(36.76%).The main ways to relieve pain were keeping warm(38.33%),rest(31.37%),and medication(31.47%).In the course of onset,most of the pain sites were fixed(66.86%).Pain associated with urination was more than half(56.76%).Most of them had anorectal symptoms(59.71%).There were significant differences between CPP group and non-CPP group in body mass index(BMI),pregnancy time,delivery time,educational background,anorectal symptoms and urine leakage(P<0.05).Multivariate Logistic regression analysis showed that anorectal symptoms,urine leakage and educational background were the influencing factors for the onset of CPP(P<0.05).Conclusion CPP is easy to be associated with anxiety,when patients appear anorectum,urine leakage related symptoms,attention should be paid,timely treatment can prevent and improveCPP.