社区女性排尿频率影响因素调查研究

目的探讨社区女性排尿频率的影响因素。方法按照国际盆腔器官脱垂和尿失禁流行病学推荐的调查问卷对年龄在25～84岁的4 458例社区女性进行调查,评价分析影响社区女性排尿频率的因素。用100 mm的视觉分度量表(VAS)测定其焦虑程度,分析焦虑与排尿频率(包括日间和夜间)的关系。结果日间排尿间隔时间与VAS测定的烦恼程度呈正相关(P<0.001)。排尿间隔时间<2 h的烦恼测定尺度为(23.6±23.7)mm,排尿间隔时间≥2 h的烦恼测定尺度为(51.7±30.1)mm,差异有统计学意义(P<0.001)。3 210例受试者存在夜尿现象,其中43%的受试者夜尿≥2次。夜尿1次的烦恼测定尺度为(27.3±26.3)mm,夜尿≥2次的烦恼测定尺度为(57.3±28.5)mm,差异有统计学意义(P<0.001)。日间排尿>1次/2 h组和日间排尿≤1次/2 h组年龄、体质指数、肥胖、盆底手术、抑郁、尿路感染(UTI)≥3次/年、咖啡因(>150 ml/d)、盆底器官脱垂(POP)、压力性尿失禁(SUI)、膀胱过度活动综合征(OAB)、大便失禁(AI)和任何盆底功能障碍(PFD)等比较,差异均有统计学意义(P<0.05)。夜间排尿<2次组和夜间排尿≥2次组年龄、体质指数、肥胖、经产数、分娩方式、盆底手术、抑郁、神经系统疾病、UTI≥3次/年、糖尿病、肺部疾病、应用利尿剂、POP、SUI、OAB、AI和任何PFD等比较,差异均有统计学意义(P<0.05)。日间尿频与POP、SUI、OAB、AI、UTI≥3次/年和肥胖相关;夜间尿频与POP、SUI、OAB、AI、高龄、UTI≥3次/年、糖尿病、肺部疾病、肥胖、盆底手术史相关。结论当日间排尿间隔时间<2 h和夜尿次数≥2次时女性会因尿频而产生焦虑。与日间尿频和夜间尿频相关性最强的因素均存在一项或者多项PFD。

Study of Influencing Factors for Urinary Frequency in Community-Dwelling Women

Objective To assess the influencing factors for urinary frequency in community-dwelling women.Methods 4 458 women aged 25~84 were investigated about the influencing factors for urinary frequency by the questionnaire recommended by the International Epidemiology of Prolapse and Incontinence Association.We used 100 mm visual analog scales(VAS) to detect their anxiety degree and analyzed the relationship between anxiety and urinary frequency including daytime and nighttime.Results Each urination interval during daytime was positively correlated with anxiety degree measured by VAS(P<0.001).The mean VAS was(23.6±23.7)mm for urination interval being<2 h and(51.7±30.1)mm for the interval being ≥2 h,the difference was significant(P<0.001).3 210 cases reported any nighttime voiding,43% of which had 2 or more times per night.The mean VAS was(27.3±26.3) for 1 time per night vs.(57.3±28.5) for ≥ 2 times per night,the difference was significant(P<0.001).The differences in age,BMI,obesity,pelvic surgery,depression,UTI≥3 times/Year,caffeine(>150 ml/d),pelvic organ prolapse(POP),stress urinary incontinence(SUI),overactive bladder(OAB),anal incontinence(AI) and any pelvic floor disorder(PFD) between the group of daytime voiding>1 time every 2 hours and the group of daytime voiding ≤ 1 time every 2 hours were significantly different(P<0.05).The differences in age,BMI,obesity,delivery mode,any pelvic surgery,depression,neurologic disease,UTI≥3 times/year,diabetes,lung disease,diuretic use,POP,SUI,OAB,AI and any PFD between the group of Nighttime voiding<2 voids per night and the group of Nighttime voiding ≥ 2 voids per night were significantly different(P<0.05).Frequent daytime voiding was associated with POP,SUI,OAS,AI,UTI≥3 times/year and obesity;Frequent nighttime voiding was associated with POP,SUI,OAS,AI,age,UTI≥3 times/year,diabetes,lung disease,obesity,pelvic surgery.Conclusion Bothersome urinary frequency was common and occurs when daytime urination interval was<2 h and nighttime voiding was ≥2 per night.The most significant factor associated with frequent daytime voiding and frequent nighttime voiding was the presence of any one or more PFD.