2913例妇女盆底功能障碍性疾病问卷调查

摘要

Objective To understand the prevalence situation of women′s pelvic floor functional disorder in a region.Methods Using the stratified random sampling method,the questionnaire survey was performed and the risk factors of women′s pelvic floor functional disorder were analyzed by the logistic regression.Results Among 3 000 copies of questionnaires,2 913 copies of ques-tionnaire were actually effective.The prevalence rate of pelvic floor functional disorder was 54.7%(1 145/2 913),in which the prevalence rates of stress urinary incontinence and pelvic organ prolapse were 39.3%(1 145/2 913)and 15.4% (449/2 913)re-spectively.Stress urinary incontinence and pelvic organ prolapse were positively correlated with the increase of age,and the other risk factors included transvaginal childbirth and pregnancy,long term constipation,long-term heavy physical labor,menopause and transvaginal hysterectomy,the differences among above factors had statistical significance(P<0.05).Conclusion The prevalence rate of pelvic floor functional disorder in surveyed women is higher,the related knowledge is poorly understood by them.%目的：了解某地区妇女盆底功能障碍性疾病的发病情况。方法采用整体分层随机抽样的方法，以问卷调查的形式对妇女盆底功能障碍性疾病进行调查，用 logistic回归分析其高危因素。结果共计收回调查问卷3000份，实际有效资料2913份。盆底功能障碍性疾病的患病率为54．7％（1594/2913），其中压力性尿失禁和盆腔脏器脱垂的患病率分别为39．3％（1145/2913）、15．4％（449/2913）。压力性尿失禁和盆腔脏器脱垂的发病率与年龄的增加呈正相关，其他高危因素包括经阴道分娩与妊娠、长期便秘史、长期重体力劳动、绝经史、阴式子宫切除史，以上因素之间比较差异均有统计学意义（P＜0．05）。结论受访女性对盆底功能障碍性疾病发病率较高，相关知识了解甚少。