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目的:研究河北省部分地区女性压力性尿失禁(Stress urinary incontinence,SUI)的患病率及影响因素,为临床防治工作提供依据。方法:采用分层整群抽样的方法,于2009年3月至5月抽取河北省石家庄、保定、邢台3个地区城市和农村中,年龄在20周岁以上不同职业的女性,共2 500人。通过面对面询问的方式进行调查,问卷由调查员填写后收回。数据的录入和分析主要使用SPSS13.0统计软件,部分处理兼用SAS8.1统计软件完成。结果:合格问卷共2 448份,城市1 485份,农村963份。河北省3个地区女性SUI的患病率为26.4%(647/2 448),就诊率为6.2%(40/647)。单因素分析表明,SUI的发生与慢性病、妇产科相关因素和人口统计学特征3大方面中的25个因素相关;并且,随着体重指数、妊娠次数和分娩次数的增加,患病率逐渐升高;多因素分析表明,年龄等10个因素是该病的重要影响因素。结论:SUI是河北省女性的高发病,但就诊率低。该病的发生与多种因素有关,并与体重指数、妊娠次数和分娩次数存在线性趋势。尿失禁(Urinary incontinence,UI)相关知识的缺乏和经济水平低下是阻碍广大女性尤其是农村女性就诊的主要原因。
Objective: To study the prevalence and influencing factors of stress urinary incontinence (SUI) in some areas of Hebei Province, and provide basis for clinical prevention and treatment. Methods: By stratified cluster sampling method, women from different occupations over the age of 20 in cities and rural areas in Shijiazhuang, Baoding and Xingtai of Hebei Province were sampled from March to May 2009 for a total of 2 500 persons. Through face-to-face interrogation, the questionnaire was filled in by investigators and recovered. Data entry and analysis mainly use SPSS13.0 statistical software, part of the processing and use SAS8.1 statistical software to complete. Results: There were 2 448 qualified questionnaires, 1 485 in cities and 963 in rural areas. The prevalence of SUI in three districts of Hebei province was 26.4% (647/2 448) and the visiting rate was 6.2% (40/647). Univariate analysis showed that the incidence of SUI was correlated with 25 of the three major aspects of chronic diseases, obstetrics and gynecology related factors and demographic characteristics. And with the increase of body mass index, number of pregnancy and number of deliveries, the prevalence gradually increased Increased; multivariate analysis showed that age and other 10 factors is an important factor in the disease. Conclusion: SUI is a high incidence of women in Hebei Province, but the consultation rate is low. The incidence of the disease and a variety of factors, and the body mass index, the number of pregnancies and the number of births there is a linear trend. The lack of knowledge about urinary incontinence (UI) and the low economic level are the main reasons that hinder the majority of women, especially rural women.