摘要
目的:探讨影响压力性尿失禁(SUI)发生的危险因素。方法:选取上海地区确诊压力性尿失禁且已手术的女性患者100例,对照组100例,设计统一流行病学问卷进行调查,采用单因素和多因素Logistic回归分析。结果:单因素分析结果:病例组与对照组体重指数(BMI)、结婚年龄、怀孕次数、分娩次数、经阴道分娩次数、初产或阴道分娩有会阴撕裂或感染史、会阴切开次数、初产后体力劳动开始时间、产褥期有尿失禁史、反复尿路感染、习惯性便秘、职业的体力劳动程度、工作时平均站立时间、被动吸烟方面差异有统计学意义(P<0.01)。在初产前有尿失禁史、老年性慢性支气管炎、慢性咳嗽、糖尿病、经常感冒、开腹全子宫(+附件)切除术方面差异有统计学意义(P<0.05)。多因素分析结果:BMI、会阴撕裂史、产褥期有尿失禁史、习惯性便秘、经常感冒、开腹全子宫(+附件)切除术、结婚年龄、初产后体力劳动开始时间与SUI有显著相关性(P<0.01)。患老年性慢性支气管炎与SUI有相关性(P<0.05)。结论:肥胖、怀孕次数、分娩次数、经阴道分娩次数、会阴切开次数、阴道分娩或初产有会阴撕裂或感染史、初产前或产褥期有尿失禁史、患老年性慢性支气管炎、慢性咳嗽、糖尿病、反复尿路感染、习惯性便秘、经常感冒、全子宫切除术、从事重体力劳动的职业、工作时平均站立时间长是压力性尿失禁的危险因素;而结婚年龄晚、初产后体力劳动开始时间晚是压力性尿失禁的保护因素。
Objective：To explore the risk factors of stress urinary incontinence （SUI）.Methods：100 female patients with SUI and receiving survey and 100 healthy women were selected from Shanghai, a unified epidemiological questionnaire was designed and used for investigation, univariate and multivariate logistic analysis were performed in data analysis.Results：Univariate analysis： there was significant difference in BMI, marriage age, the number of pregnancy, the number of delivery, the number of vaginal delivery, the histories of laceration of perineum or infection during primiparity or vaginal delivery, the number of perineotomy, start time of labor work after primiparity, history of SUI during puerperium, recurrent urinary infection, habitual constipation, degree of occupational labor work, average standing time at work and passive smoking between case group and control group （P〈0.01）; there was significant difference in history of SUI before primiparity, senile chronic bronchitis, chronic cough, diabetes mellitus, frequent rheum and total abdominal hysterectomy （including adnexa uteri） between case group and control group （P〈0.05）.Multivariate analysis： there was a significant correlation between BMI, the history of laceration of perineum, history of SUI during puerperium, habitual constipation, frequent rheum, total abdominal hysterectomy （including adnexa uteri）, marriage age, start time of labor work after primiparity and SUI （P〈0.01）; there was a correlation between senile chronic bronchitis and SUI （P〈0.05）.Conclusion：The risk factors of SUI include obesity, number of pregnancy, the number of delivery, the number of vaginal delivery, the number of perineotomy, the histories of laceration of perineum or infection during primiparity or vaginal delivery, history of SUI during puerperium or before primiparity, senile chronic bronchitis, chronic cough, diabetes mellitus, recurrent urinary infection, habitual constipation, frequent rheum, total abdominal hysterectomy （including adnexa uteri）, degree of occupational labor work and average standing time at work; the protective factors of SUI include advanced marriage age, later start time of labor work after primiparity.
出处
《中国妇幼保健》
CAS
北大核心
2010年第35期5251-5256,共6页
Maternal and Child Health Care of China
关键词
压力性尿失禁
危险因素
病例对照研究
Stress urinary incontinence
Risk factors
Case -control study
