摘要
目的了解城市社区围绝经期女性尿失禁现况,以便对城市社区中有尿失禁症状的中老年女性开展早期诊断和干预治疗。方法 2011年3月—2012年3月,采用目的抽样方法在北京市西城区新街口、月坛、展览路、金融街4个社区卫生服务中心妇科门诊就诊的围绝经期女性中各抽取210例作为调查对象(共840例),应用自行设计的围绝经期女性保健问卷调查其一般情况、围绝经期综合征发生率、改良Kupperman评分及尿失禁发生率。结果共发放调查问卷840份,收回有效问卷804份,问卷回收率为95.7%。804例围绝经期女性平均年龄为(52.2±5.1)岁,体质指数(BMI)为(23.9±3.4)kg/m2,腰围为(79.7±7.1)cm,改良Kupperman评分为(8.25±7.67)分。804例围绝经期女性尿失禁发生率为37.9%(305/804)。不同绝经分期女性潮热出汗、失眠、骨关节痛及尿失禁发生率比较,差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,年龄、既往行盆腔手术、超重或肥胖、改良Kupperman评分与围绝经期女性发生尿失禁有回归关系。结论城市社区围绝经期女性尿失禁发生率较高,加强对围绝经期女性尿失禁的筛查和诊治将是社区医务工作者今后工作的重点。
Objective To investigate the current status of urinary incontinence in perimenopausal women in urban communities. Methods A total of 840 perimenopausal women aged between 40 to 60 years old visiting Xinjiekou community health center, Yuetan community health center, Zhanlanlu community health center, and Jinrongjie community health center in Xicheng District of Beijing were selected through purposive sampling （210 women from each community health center） . The gen- eral information, the occurrence of perimenopausal syndrome, the improved Kupperman score, and the occurrence of urinary in- continence were collected with selfdesigned questionnaire. Results In the 840 questionnaires, 804 questionnaires were valid with a response rate of 95.7%. In the 804 women, the average age was （52. 2 ± 5.1 ） years, the average BMI was （23.9 ± 3.4） kg/m^2, the average waistline was （79. 7 ± 7. 1 ） cm, and the average improved Kupperman score was （8.25 ±7. 67） . The overall incontinence incidence was 37. 9% （305/804） . Significant difference was noted in hectic fever and sweating, in- somnia, arthralgia, and the incidences of incontinence in women with different STRAW （ Stages of Reproductive Aging Work- shop） menopausal stages （P 〈 0.05） . Multiple Logistic regression showed that age, previous pelvic surgery, overweight or o- besity, and the improved Kupperman score were the risk factors of urinary incontinence in perimenopausal women. Conclusion The incidence of urinary incontinence is high in perimenopausal women in urban communities. The diagnosis, treatment and preventive interventions of urinary incontinence in perimenopause women should be strengthened in community health service centers.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第30期3587-3589,共3页
Chinese General Practice
基金
首都医学发展科研基金(2013SF1383)
关键词
围绝经期
尿失禁
社区卫生服务
女(雌)性
Perimenopause
Urinary incontinence
Community health services
Female
