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目的调查北京地区成年女性混合性尿失禁(mixed urinary incontinence,MUI)的患病率、影响因素及对生活质量的影响。方法本研究通过分层多阶段系统抽样的方法,在北京市6个区县48个调查点,对3 058名20岁以上成年女性进行问卷调查。问卷内容包括调查对象人口统计学信息、MUI可疑危险因素及MUI对生活质量影响。应用SPSS 11.5统计分析软件进行数据分析。结果本研究调查对象的MUI患病率为7.49%(229/3 058),MUI患病率随着年龄增长逐渐增高。多因素logistic回归结果显示,MUI的危险因素有:年龄(OR40~=3.21,95%CI:1.62~6.36;OR50~=6.58,95%CI:3.38~12.84;OR60~=6.15,95%CI:2.68~14.13;OR70~=15.28,95%CI:7.15~32.65)、职业为工人或农民(OR=2.46,95%CI:1.42~4.26)、会阴裂伤(OR=1.60,95%CI:1.01~2.54)、妇科疾病史(OR=4.02,95%CI:2.70~5.99)、粪失禁(OR=2.75,95%CI:1.06~7.14)。MUI对患者生活质量的影响最主要表现为担心漏尿问题随着年龄增长而日益严重。结论 MUI是严重影响成年女性生活质量的常见疾病,影响因素复杂,应加强对MUI的防治工作。
Objective To investigate the prevalence, influencing factors and quality of life of mixed female urinary incontinence (MUI) in Beijing. Methods In this study, a total of 3 058 adult women over the age of 20 were surveyed by means of stratified multi-stage systematic sampling at 48 survey sites in 6 districts and counties of Beijing. The questionnaire included the demographic information, suspicious risk factors of MUI and the influence of MUI on the quality of life. Application SPSS 11.5 statistical analysis software for data analysis. Results The prevalence of MUI in this study was 7.49% (229/3 058). The prevalence of MUI gradually increased with age. Multivariate logistic regression showed that the risk factors of MUI were as follows: age (OR40 ~ 3.21, 95% CI: 1.62 ~ 6.36; OR50 ~ = 6.58,95% CI: 3.38 ~ 12.84; OR60 ~ = 6.15,95% CI: (OR = 2.46, 95% CI: 1.42 ~ 4.26), episiotomy perineum (OR = 1.60, 95% CI: 1.01 ~ 2.54), history of gynecological diseases (OR = 4.02, 95% CI: 2.70 ~ 5.99) and incontinence (OR = 2.75,95% CI: 1.06 ~ 7.14). The main impact of MUI on the quality of life of patients is the concern that urine leakage problems become increasingly serious with age. Conclusion MUI is a common disease that seriously affects the quality of life of adult women. The influencing factors are complex and the prevention and cure of MUI should be strengthened.