南宁市成年女性尿失禁流行病学调查

目的：了解南宁市成年女性尿失禁（UI）的患病率以及UI不同类型构成比特征；探讨UI发病的危险因素。方法：采用整群抽样的方法，于2012年7月至2012年12月对南宁市22～78岁的1080名不同职业常住女性进行面对面《国际下尿路症状问卷》及一般情况（人口学资料，疾病相关因素等）]调查，所得数据采用Epidata软件建立数据文件，采用SPSS13．0统计软件对资料进行统计分析。结果：合格问卷1052份，南宁市成年女性UI患病率为37．2％（391／1052）；压力性尿失禁（SUI）、混合性尿失禁（MUD和急迫性尿失禁（UUI）分别为19．2％（202／1052）、15．7％（165／1052）、2．3％（24／1052）。UI中以SUI为主，其余依次为MUI和UUI。多因素Logistic回归表明：高龄、阴道分娩、高血压、绝经、慢性咳嗽、盆腔手术以及便秘是南宁市成年女性UI的危险因素。结论：南宁市成年女性UI患病率与国内调查结果相近，分型以SUI为主。高龄、阴道分娩、高血压、绝经、慢性咳嗽、盆腔手术以及便秘是南宁市成年女性UI的危险因素。

EPIDEMIOLOGICALSURVEY OF ADULT FEMALE URINARY INCONTINENCE IN NAN- NING

Objective：To understand the prevalence, prevalence ratio and the risk factors of adult female uri- nary incontinence in Nanning. Methods： A total of 1080 women from Nanning with various occupations, aged from 22 to 78, were randomly sampled and interviewed to conduct a face-to-face inquiry using a ques- tionnaire named International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms Module （ICIQ-FLUTS）]. Data was analyzed by SPSS 13.0 statistical soft ware. Results. The number of the valid questionnaires was 1 052. The prevalence of urinary incontinence was 37. 2% （391/1 052）. Among these women, 19. 2% （202/1 052） had stress urinary incontinence （SUI）, 15.7% （165/1 052） mixed urinary incontinence （MUI） and 2.3% （24/1 052） urge urinary incontinence （UUI）. Among them, SUI is the most common, followed by MUI and UUI. Multiple Logistic regression analysis showed that advanced age, vaginal delivery, high blood pressure, pausimenia, chronic cough, pelvic sur- gery and constipation were all the risk factors of urinary incontinence for women in Nanning. Conclusion. The prevalence of urinary incontinence in Nanning is about the same level as the national average, and SUI is the most common type. Advanced age, vaginal delivery, high blood pressure, pausimenia, chronic cough, pelvic surgery and constipation are all the risk factors of urinary incontinence for women in Nan- ning.