流动人群女性压力性尿失禁产科因素研究.docVIP

流动人群女性压力性尿失禁产科因素研究[摘要] 目的 探讨流动人群女性压力性尿失禁与产科因素的关系。 方法 采用整群抽样的方法，对广州市1 458名21岁以上不同职业流动人群经产妇的压力性尿失禁患病情况进行调查分析。 结果 广州市流动人群经产妇压力性尿失禁患病率为34.2%（499/1 458）。分娩次数、分娩方式、分娩地点、助产方式、有无会阴裂伤产科因素与患病率有关（P 0.05）。 结论 多产、家中分娩、阴道裂伤、阴道助产等产科因素与广州市流动人群女性压力性尿失禁患病率较高明显相关，应加强流动人群的孕产期保健，降低压力性尿失禁患病率，提高流动人群女性生活质量。 [关键词] 尿失禁；压力性；产科；危险因素 [中图分类号] R173 [文献标识码] C [文章编号] 1673-7210（2012）07（b）-0115-03 Analysis of stress urinary incontinence maternity factors among female floating population GUI Yue’e XU Ping GUO Lian CHEN Liang LI Juan YI Yanping Research Institute for Population and Family Planning of Guangzhou City, Guangdong Province, Guangzhou 510410, China [Abstract] Objective To discuss the relation between stress urinary incontinence among female floating population and maternity factors. Methods The cluster sampling method was adopted. Prevalence of stress urinary incontinence among 1 458 floating population multipara with different occupations aged over 21 in Guangzhou city were investigated and analyzed. Results The prevalence of stress urinary incontinence was 34.2% (499/1 458). Maternity factors of delivery times, delivery mode, delivery location, way of midwifery and perineal laceration or not were associated with prevalence (P ＜ 0.05). Conclusion Maternity factors of multiple birth, home delivery, vaginal laceration, vaginal midwifery are associated with prevalence of stress urinary incontinence among female floating population in Guangzhou city. The government should strengthen the maternal health of floating population, reduce the prevalence of stress urinary incontinence, and improve the quality of life of female floating population. [Key words] Incontinence; Pressure; Obstetrics; Risk factors、 尿失禁 （urinary incontinence，UI）是中老年妇女常见疾患，严重影响患者的生活质量和身心健康。国际尿控协会提出：UI系尿液不自主流出所引起的一个普遍的社会和卫生问题，其中以压力性尿失禁（stress urinary incontinence，SUI）为最常见类型[1]。为了解广州地区流动人群女性SUI的患病情况及影响因素，笔者于2010年11月～2011年9月对广州地区流动人群成年女性进行了问卷调查，就SUI与产科因素之间的关系进行了分析，现报道如下： 1 对象与方法 1.1 研究对象 选择2010年11月～2011年9月年