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目的:调查温州地区妇女有关尿失禁等尿路方面的问题,了解成年女性压力性尿失禁(SUI)的发病情况及发病的相关因素。方法:采用随机整群抽样方法对年龄在20岁以上的女性进行面对面问卷调查。结果:共获得1876份合格问卷,成年女性SUI患病率为22.6%,绝经后妇女SUI患病率为40.3%。多因素Logistic回归分析得出SUI患病的独立影响因素有年龄、体重指数、月经状态、便秘、慢性咳嗽、产程延长、胎儿体重、阴道分娩次数、分娩方式。温州地区SUI的就诊率仅7.3%。结论:温州地区成年女性SUI患病率较高,绝经后妇女SUI患病率接近50.0%。加强基层卫生保健工作,提高群众保健意识是降低SUI患病的有效措施。
OBJECTIVE: To investigate the urinary tract problems of urinary incontinence among women in Wenzhou area and to find out the incidence of SUI and the related factors of the disease in Wenzhou women. METHODS: A randomized cluster sampling method was used to conduct a face-to-face questionnaire survey of women over the age of 20 years. Results: A total of 1876 qualified questionnaires were obtained. The prevalence of SUI in adult women was 22.6% and the prevalence of SUI in postmenopausal women was 40.3%. Multivariate Logistic regression analysis showed that the independent influencing factors of SUI were age, body mass index, menstrual status, constipation, chronic cough, prolonged labor, fetal weight, number of vaginal delivery and mode of delivery. SUI in Wenzhou, the visiting rate was only 7.3%. Conclusion: The prevalence of SUI in adult women in Wenzhou is high, and the prevalence of SUI in postmenopausal women is close to 50.0%. Strengthening primary health care work and raising people’s awareness of health care are effective measures to reduce the prevalence of SUI.