城市社区围绝经期女性尿失禁现况调查

发布时间：2019-07-19 14:27

【摘要】：目的了解城市社区围绝经期女性尿失禁现况,以便对城市社区中有尿失禁症状的中老年女性开展早期诊断和干预治疗。方法 2011年3月—2012年3月,采用目的抽样方法在北京市西城区新街口、月坛、展览路、金融街4个社区卫生服务中心妇科门诊就诊的围绝经期女性中各抽取210例作为调查对象(共840例),应用自行设计的围绝经期女性保健问卷调查其一般情况、围绝经期综合征发生率、改良Kupperman评分及尿失禁发生率。结果共发放调查问卷840份,收回有效问卷804份,问卷回收率为95.7%。804例围绝经期女性平均年龄为(52.2±5.1)岁,体质指数(BMI)为(23.9±3.4)kg/m2,腰围为(79.7±7.1)cm,改良Kupperman评分为(8.25±7.67)分。804例围绝经期女性尿失禁发生率为37.9%(305/804)。不同绝经分期女性潮热出汗、失眠、骨关节痛及尿失禁发生率比较,差异均有统计学意义(P0.05)。多因素Logistic回归分析结果显示,年龄、既往行盆腔手术、超重或肥胖、改良Kupperman评分与围绝经期女性发生尿失禁有回归关系。结论城市社区围绝经期女性尿失禁发生率较高,加强对围绝经期女性尿失禁的筛查和诊治将是社区医务工作者今后工作的重点。
[Abstract]:Objective To study the status of female urinary incontinence in peri-menopausal women in urban communities, so as to carry out early diagnosis and intervention for middle-aged and old women with urinary incontinence symptoms in urban communities. Methods From March 2011 to March 2012,210 cases of perimenopausal women who were treated by the purpose sampling method in Xinjie, Moon Temple, Exhibition Road and 4 community health service centers in Xicheng District, Beijing were taken as the subject of investigation (840 cases). The prevalence of perimenopausal syndrome, the improved Kopherman score and the incidence of urinary incontinence were investigated by a self-designed survey of perimenopausal women's health care. Results A total of 840 questionnaires were distributed,804 questionnaires were collected, and the recovery rate of the questionnaire was 95.7%. The average age of the 804 women with perimenopausal period was (52.2 and 5.1), the body mass index (BMI) was (23.9-3.4) kg/ m2, and the waist circumference was 79.7 (7.1) cm. The modified Kurpterman score was (8.25-7.67).804 of the 804 women with perimenopausal women were 37.9% (305/804). There was a significant difference in the incidence of hot sweating, insomnia, bone joint pain and urinary incontinence in women with different menopause stages (P0.05). Multiple-factor logistic regression analysis showed that age, previous pelvic surgery, overweight or obesity, improved Kopherman score and female urinary incontinence in perimenopausal women had a regression relationship. Conclusion The incidence of female urinary incontinence in peri-menopausal women is high, and the strengthening of the screening and diagnosis and treatment of female urinary incontinence in the peri-menopausal period will be the focus of the future work of community medical workers.
【作者单位】：首都医科大学附属复兴医院月坛社区卫生服务中心;
【基金】：首都医学发展科研基金(2013SF1383)
【分类号】：R694

【参考文献】