【摘要】 目的:研究河北省部分地区女性压力性尿失禁(Stress urinary incontinence,SUI)的患病率及影响因素,为临床防治工作提供依据。方法:采用分层整群抽样的方法,于2009年3月至5月抽取河北省石家庄、保定、邢台3个地区城市和农村中,年龄在20周岁以上不同职业的女性,共2 500人。通过面对面询问的方式进行调查,问卷由调查员填写后收回。数据的录入和分析主要使用SPSS13.0统计软件,部分处理兼用SAS8.1统计软件完成。结果:合格问卷共2 448份,城市1 485份,农村963份。河北省3个地区女性SUI的患病率为26.4%(647/2 448),就诊率为6.2%(40/647)。单因素分析表明,SUI的发生与慢性病、妇产科相关因素和人口统计学特征3大方面中的25个因素相关;并且,随着体重指数、妊娠次数和分娩次数的增加,患病率逐渐升高;多因素分析表明,年龄等10个因素是该病的重要影响因素。结论:SUI是河北省女性的高发病,但就诊率低。该病的发生与多种因素有关,并与体重指数、妊娠次数和分娩次数存在线性趋势。尿失禁(Urinary incontinence,UI)相关知识的缺乏和经济水平低下是阻碍广大女性尤其是农村女性就诊的主要原因。更多还原

【Abstract】 Objective:To evaluate the prevalence and related factors of stress urinary incontinence(SUI) in Hebei Province.Methods:A total of 2 500 females,at the age of 20 years or older and with different occupations,were randomly sampled from Shijiazhuang,Baoding and Xingtai in Hebei Province,then were interviewed by face-to-face inquiry using a well-designed questionnaire.Data analysis was performed with SPSS13.0 and SAS8.1 statistical software.Results:The number of the valid questionnaires was 2 448,with 1 485 in city,963 in countryside.The prevalence of SUI was 26.4%(647/2 448) in the three regions of Hebei.Only 40 of these incontinent females consulted a doctor for help.25 factors were demonstrated statistically related with SUI and the prevalence increased gradually correlated with body mass index,gravidity and abortion times.In multivariable logistic regression,10 factors,for example age,were demonstrated as more important.Conclusion:SUI is a common and multifactorial disease among females in Hebei Province,but only a few of them have visited doctor.Linear trend was found between SUI and body mass index,gravidity and abortion times.Lack of SUI-related knowledge and economic condition are the main factors to prevent patients from seeing a doctor.更多还原