中国成年女性混合性尿失禁的流行病学调查

目的 研究中国成年女性混合性尿失禁(MUI)的患病率、危险因素以及高危人群等.方法 2006年2月至7月对中国6大地区(西北、西南、华北、华东、东北、中南)具有当地户籍或固定居住在当地10年以上的成年女性19 024人,使用问卷对于个体调查对象的一般情况和下尿路症状进行现场调查.结果 中国成年女性MUI患病率是9.4%,随着年龄的增长,MUI患病率升高.多因素Logistic回归分析表明:年龄、阴道分娩、便秘、盆腔器官膨出、慢性盆腔疼痛、呼吸系统疾病、月经紊乱、泌尿系统疾病、饮酒、盆腔手术、肥胖和文化程度高是中国成年女性MUI发生的独立影响因素.结论 中国成年女性MUI的发生随着年龄的增加而升高,是老年女性健康的常见问题.阴道分娩、便秘和盆腔器官膨出等是中国成年女性MUI患病的危险因素,而文化程度高是其保护性因素.

Epidentiological study of women adults with mixed urinary incontinence in China

Objective To investigate the prevalence and the epidemiological factors of female mixed urinary incontinence (MUI) in China. Methods In February to July 2006, 19 024 subjects aged over 20 years old in 6 Chinese regions including Northwest, Southwest, Northern China, Eastern China, Northeast and South China were selected. Questionnaires were used to investigate the general characters and the lower urinary tract symptoms in these subjects. Results The overall prevalence of mixed urinary incontinence was 9. 4% among these women and it increased with advancing age. In multiple logistic models, age, vaginal delivery, constipation, pelvic organ prolapse, chronic pelvic pain, respiratory system disease, menstrual disorder, urinary system disease, alcohol consumption, pelvic surgery, obesity as well as high educational level were independent risk factors for mixed urinary incontinence. Conclusion The prevalence of MUI increases with advancing age. Vaginal delivery, constipation and pelvic organ prolapse are risk factors for mixed urinary incontinence in China while high educational level is a protective factor.