问卷调查在采集女性盆腔脏器脱垂患者病史中的应用

目的：比较问卷调查与回顾性病例分析采集盆腔脏器脱垂（POP）患者信息的异同,从而确定症状问卷调查表的重要性。方法：按照现况调查的方法对2009年11月—2010年4月门诊收治的105例POP患者进行现场问卷调查,按照回顾性分析的方法采集2007年1月—2009年10月因POP住院手术治疗的209例患者的病史。采用SPSS18.0进行统计学分析,比较2组患者临床特征信息中的异同。结果：①2组相同点。POP患者年龄、绝经、妊娠次数和产次基本相似;POP部位均以阴道前壁、子宫为主;脱垂程度越重,症状检出率越高。常见症状排位相同。②2组不同点。住院患者症状检出率明显低于门诊患者。结论：现场问卷调查与回顾性病例分析POP相关情况结果相似,常见症状出现频率差异较大,尤其是大便情况。建议临床医生在接诊POP患者时,要注意对关键症状和体征的问诊,以免遗漏重要病史。

The Importance of Questionnaire in Female Pelvic Organ Prolapse Evaluation

Objective：Compared the similarities and differences in collected questionnaire and retrospective case information of pelvic organ prolapse patients. Methods：One hundred and five patients who consulted in out-patient for POP in Peking University People′s Hospital from November 2009 to April 2010 using the questionnaire interview. The in-patients′ information of the patients who underwent surgery for POP in the same hospital from January 2007 to October 2009 were collected. The information of the above were compared analyzed with SPSS 18.0 software. Results：Compare the questionnaire with the disease history：①The relevant factor of pelvic organ prolapse was similar,such as age,menopause,pregnancy,hypertension,diabetes. It shows the more severe prolapse,the higher frequency of symptoms. ②The prevalence of inpatients symptoms less than outpatients’. Conclusions：Questionaire and retrospective analysis about pelvic organ prolapse-related conditions were similar,but the frequency of common symptoms is different. It suggests clinical doctor should pay more attention to ask the common symptoms for the patients with pelvic organ prolapse.