莱芜市农村已婚妇女尿失禁的流行病学调查

发布时间：2018-05-17 21:43

本文选题：尿失禁 + 女性　；参考：《泰山医学院》2014年硕士论文

【摘要】：目的本次流行病学调查通过对莱芜当地地区已婚妇女的问卷调查发现我市农村已婚妇女尿失禁的患病情况,并探讨分析其发病的影响因素,为制定适合本地区的尿失禁干预防范措施而提供理论依据。1.调查莱芜市已婚妇女UI不同类型的患病率。2.调查莱芜市已婚妇女UI不同类型的构成比特点。3.分析SUI发病的危险因素。4.根据调查研究的结果制定适合本地区的防治措施,以有效的降低本地区UI的发病率。5.为已婚妇女尿失禁提供流行病学资料。方法选择2012年10月至2013年6月我市莱城区13镇70村的18—90周岁的当地已婚农村妇女为调查对象。调查所用的调查表主要根据布里斯托女性下尿路症状调查问卷(BFLUTS)改编,包括一般资料问卷、月经及胎产史、既往疾病史以及个人史、漏尿情况、体格检查、妇科检查以及辅助检查。在进行预调查、人员培训后正式调查。所有数据资料如实录入Epidata3.0建立数据库,一人录入,一人核对。所有统计分析采用SPSS13.统计包处理。一般计量资料采用均数±标准差表示,计数资料采用χ2检验,单因素分析和多因素分析采用Logistics回归分析,以确定优势比(OR)和95%可信区间(CI)。结果1.在调查人群中,共有1142人患有不同类型的尿失禁,占43.92%。其中压力性尿失禁571人,占21.96%(571/2600),急迫性尿失禁199人,占7.65%(199/2600),混合性尿失禁372人,占14.31%(372/2600)。在疾病构成比中,压力性尿失禁的发病人数占尿失禁总人数的50.00%,急迫性尿失禁的发病人数占尿失禁总人数的17.43%,混合性尿失禁的发病人数占尿失禁总人数的32.57%。2.①尿失禁的发病率随年龄的上升而上升,50岁~组和60岁~组略高于70岁~组8 0岁~组,经统计学检验有显著性差异(P0.05)。②在各年龄组中,~29岁组、30岁~组、40岁~组和50岁~组不同类型尿失禁的构成比由高到低基本是SUIUUIMUI,经统计学检验有显著性差异(P0.05)。但到了60岁之后的组别,不同类型尿失禁的构成比由高到低基本是MUISUIUUI,经统计学检验有显著性差异(P0.05)。在60岁之前,SUI是尿失禁的主要类型,其构成比在尿失禁中占绝对优势,经统计学检验有极显著性差异(P0.01),且这一优势与年龄增长无明显关系,经统计学检验无显著性差异(P0.05)。但在60岁之后,MUI和UUI的构成比大步上升,尤其是MUI上升明显,且随年龄增长构成比也增加,经统计学检验有显著性差异(P0.05)。3.企事业单位和农民是各种职业中尿失禁发病率最高的人群(分别为57.69%、51.46%),经统计学检验有显著性差异(P0.05),可能与企事业单位人员缺乏锻炼而农民劳动强度偏大有关。不同职业的不同类型尿失禁的构成比由高到低基本是SUIUUIMUI,且SUI的发病率明显高于UUI、MUI,经统计学检验有显著性差异(P0.05)。农民的压力性尿失禁构成比最重(61.79%),企事业单位人员的混合性尿失禁构成比最重(51.67%),经统计学检验有显著性差异(P0.05)。4.不同文化程度的尿失禁患病率无明显不同,经统计学检验无显著性差异(P0.05)。不同文化程度的不同类型UI构成比无明显不同,经统计学检验无显著性差异(P0.05)。5.①尿失禁的发病率随分娩次数的增加而明显增加,经统计学检验有显著性差异(P0.05)。②分娩3次及以上后,尿失禁的发病率显著增加,经统计学检验有极显著性差异(P0.01)。③SUI、UUI的发病率随分娩次数的增加而增加,经统计学检验有显著性差异(P0.05)。但MUI的发病率无明显随分娩次数的增加而增加的趋势,经统计学检验无显著性差异(P0.05)。SUI的构成比有明显随年龄增加的趋势,经统计学检验有显著性差异(P0.05)。SUI的构成比无明显随年龄增加的趋势,经统计学检验无显著性差异(P0.05)。MUI的构成比有明显随年龄下降的趋势,经统计学检验有显著性差异(P0.05)。6.①随着胎儿体重的增加,尿失禁的发病率有增加的趋势,经统计学检验有显著性差异(P0.05)。②随着胎儿体重的增加,SUI、UUI、MUI都有增加的趋势,经统计学检验有显著性差异(P0.05)。③胎儿体重≥4kg后,患各种类型尿失禁的比例均明显增加,经统计学检验有显著性差异(P0.05)。④各种类型的尿失禁构成比均有随胎儿体重增加而增加的趋势,经统计学检验有显著性差异(P0.05)。;⑤SUI的构成比在同胎儿体重组别中最大,经统计学检验有显著性差异(P0.05)。7.压力性尿失禁可能的危险因素分别是:年龄、职业、分娩次数、绝经、便秘、慢性咳嗽史、盆腔手术史、腰围、体重指数。经多因素Logistic回归分析得出分娩3次及以上、绝经、便秘、盆腔手术史、体重指数≥28.0等5个因素是压力性尿失禁的危险因素。8.急迫性尿失禁可能的危险因素分别是:分娩次数、绝经、便秘、体重指数、糖尿病、WHR。经多因素Logistic回归分析得出最终分娩3次及以上、便秘、体重指数≥28.0等3个因素是急迫性尿失禁的危险因素。9.混合性尿失禁可能的危险因素分别是:年龄、职业、分娩次数、绝经、便秘、慢性咳嗽史、盆腔手术史、腰围、体重指数。经多因素Logistic回归分析得出最终年龄≥50岁、便秘、绝经等3个因素是急迫性尿失禁的危险因素。结论1.尿失禁发病的主要类型为压力性尿失禁,其危险因素主要为分娩3次及以上、绝经、便秘、盆腔手术史、体重指数≥28.0。其次为混合性尿失禁和急迫性尿失禁,其危险因素分别为年龄≥50岁、便秘、绝经;分娩3次及以上、便秘、体重指数≥28.0。2.通过各种干预措施,制定适合本地区的防治措施,争取降低本地区尿失禁的发病率。
[Abstract]:Objective to find out the prevalence of urinary incontinence of married women in the rural areas of Laiwu, and to analyze the influencing factors of the incidence of urinary incontinence in the rural areas of our city, and to provide a theoretical basis for the investigation of different types of UI married women in Laiwu. The prevalence rate of.2. in Laiwu married women UI different types of constituent ratio.3. analysis of the risk factors of SUI disease.4. based on the results of the study to formulate appropriate local control measures to effectively reduce the incidence of UI in the local region.5. for married women to provide flow disease information for urinary incontinence. Methods selected from October 2012 to 2013 In June, 70 villages of 13 towns in 13 towns of Laicheng district were investigated. The questionnaire was mainly based on the Bristow female lower urinary tract symptom questionnaire (BFLUTS), including the general data questionnaire, menstruation and fetal history, history of past diseases and personal history, leakage of urine, physical examination, gynecologic examination. All data were recorded in Epidata3.0 to establish database, one person was recorded and one person checked. All statistical analysis was processed by SPSS13. statistical package. The general measurement data were expressed with mean standard deviation, and the count data were analyzed by x 2 test, single factor analysis and multi cause. Logistics regression analysis was used to determine the dominance ratio (OR) and 95% confidence interval (CI). Results 1. of the respondents, 1142 were suffering from different types of urinary incontinence, 571 of which were stress urinary incontinence, 21.96% (571/2600), 199 of urgent incontinence, 7.65% (199/2600), and 372 of mixed urinary incontinence, 14.31% (372/26). 00). In the ratio of disease composition, the number of stress urinary incontinence accounts for 50% of the total incontinence, 17.43% of the total number of incontinence in urinic incontinence, the incidence of 32.57%.2. in the total number of incontinence in urinary incontinence, the incidence of urinary incontinence increased with the increase of age, and the 50 years and 60 years of age are slightly higher. There were significant differences between 70 years old and 80 years old (P0.05). (2) in all age groups, ~29 years, 30 years old, 40 years old and 50 years old, the constituent ratio of different types of urinary incontinence was basically SUIUUIMUI, and statistically significant difference (P0.05). But after 60 years of age, the composition of different types of urinary incontinence There was a significant difference in MUISUIUUI from high to low (P0.05). Before the age of 60, SUI was the main type of urinary incontinence, its constituent ratio was dominant in urinary incontinence, and statistically significant difference (P0.01), and there was no significant relationship between this advantage and annual growth, and there was no significant difference in statistical test (P0 .05). But after the age of 60, the composition of MUI and UUI is higher than the big step, especially the increase of MUI, and the ratio of the age increases. There is a significant difference (P0.05).3. enterprises and farmers are the highest incidence of urinary incontinence (57.69%, 51.46%) in various professions (respectively, 51.46%), and the statistical test has a significant difference. The difference (P0.05) may be related to the lack of exercise for the personnel of enterprises and institutions. The composition of different types of urinary incontinence in different professions is basically SUIUUIMUI, and the incidence of SUI is significantly higher than that of UUI, MUI, statistically significant difference (P0.05). The proportion of stress urinary incontinence in farmers is the heaviest (61.79%), The proportion of mixed urinary incontinence in enterprises and institutions was the heaviest (51.67%). There was significant difference (P0.05) in statistical test. There was no significant difference in the prevalence rate of urinary incontinence between.4. and different cultural degrees. There was no significant difference (P0.05). The composition of different types of UI in different cultural degrees was not significantly different, and there was no significant statistical test. The incidence of urinary incontinence (P0.05).5. (1) increased significantly with the increase of the number of childbirth, and there was a significant difference (P0.05). After 3 times of childbirth and above, the incidence of urinary incontinence increased significantly, and statistically significant difference (P0.01). (3) the incidence of SUI, UUI increased with the number of childbirth, and was statistically analyzed. There was a significant difference (P0.05). However, the incidence of MUI was not significantly increased with the increase of the number of births. There was no significant difference in statistical test (P0.05), the constituent ratio of.SUI was obviously increased with age, and there was a significant difference (P0.05) the constituent ratio of.SUI was not obviously increased with age. There was a significant difference in the composition ratio of.MUI (P0.05), and the statistical test showed significant difference (P0.05).6. (1) the incidence of urinary incontinence increased with the increase of fetal weight, and statistically significant difference (P0.05). (2) with the increase of fetal weight, SUI, UUI, MUI all increased. There was a significant difference in statistical test (P0.05). (3) the proportion of various types of urinary incontinence increased obviously after the fetal weight was more than 4kg, and there was a significant difference (P0.05). (4) there was a tendency to increase with the increase of fetal weight in all types of urinary incontinence (P0.05 The constituent ratio of SUI was the largest in the group of the same fetal weight. The possible risk factors for.7. stress urinary incontinence (P0.05) were age, occupation, number of childbirth, menopause, constipation, chronic cough, pelvic surgery, waist circumference, body mass index, and 3 times of birth and with multiple factors Logistic regression analysis. 5 factors such as the history of menopause, constipation, pelvic surgery, body mass index, or more than 28 were risk factors for stress incontinence of urinary incontinence. The possible risk factors for.8. urgent incontinence were the number of childbirth, menopause, constipation, body mass index, diabetes, and WHR. by multiple factors Logistic regression analysis, 3 and more final deliveries, constipation, body mass index more than 28 The risk factors for acute urinary incontinence were 3 factors: age, occupation, times of delivery, menopause, constipation, chronic cough, pelvic surgery, waist circumference, body mass index. The final age of 50 years, and 3 factors such as constipation, menopause, and 3 factors were acute urinary incontinence. Conclusion 1. the main types of urinary incontinence are stress urinary incontinence. The main risk factors are 3 times of delivery and above, menopause, constipation, pelvic surgery, body mass index (BMI) more than 28.0., followed by mixed urinary incontinence and urgent incontinence. The risk factors are age 50 years, constipation, menopause, and childbirth 3 times and above, respectively. The body mass index (28.0.2.) is more than 10%. Through various intervention measures, appropriate measures for prevention and control in this area are worked out to reduce the incidence of urinary incontinence in this area.
【学位授予单位】：泰山医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R711.59

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