文芳,杨英捷,訾聃,罗畅,陈国庆,吴金健
WEN Fang,YANG Yingjie,ZI Dan,LUO Chang,CHEN Guoqing,WU Jinjian

• 1:贵州医科大学附院妇产科
• 2:贵州医科大学附属肿瘤医院妇瘤外科
• 3:贵州省威宁县人民医院妇产科

摘要(Abstract)：

目的:了解贵州省苗族、布依族和汉族妇女盆底功能障碍性疾病(PFD)的患病情况及影响因素。方法:对贵州省苗族、布依族、汉族接受健康体检的常住已婚女性294人进行妇科检查,对患有盆腔脏器脱垂情况进行测量和分度;同时收集年龄、民族、分娩次数、分娩地点、分娩方式、漏尿时的症状及程度、对生活质量影响的问卷调查资料,比较不同民族PFD的患病率,采用多因素Logistic回归分析PFD的影响因素。结果:294名健康体检妇女PFD患病率为44.22%(130/294),苗族妇女PFD患病率高于布依族与汉族妇女(P<0.05),其中苗族妇女盆腔脏器脱垂患病率高于布依族和汉族妇女(P<0.05),尿失禁患病率低于布依族和汉族妇女(P<0.05);年龄、民族、分娩方式为盆腔脏器脱垂、尿失禁患病的共同危险因素(P<0.05)。结论:苗族女性与布依族、汉族女性PFD患病率存在差异,应根据各自民族特点开展适宜的健康教育,预防PFD。
Objective: To explore the prevalence of women's pelvic floor dysfunction(PFD) in Miao,Buyi,and Han nationalities of Guizhou and the affecting factors. Methods: Gynecological examination was conducted to 294 married women belonging to Miao,Buyi and Han nationalities. PFD patients were recorded,and the ptosted organs were measured and graded. In the same time,information including age,nationality,delivery times,delivery way,delivery places,and the symptoms and degrees of urinary incontinence,and the influence to life quality were collected by questionnaire survey. PFD prevalences in different nationalities were compared,and the factors affecting PFD were analyzed with multi-factor Logistic regression. Results: The general PFD prevalence in the 294 women was 44. 22 %(130/294). The PFD prevalence of Miao women was higher than those of Buyi and Han women(P <0. 05). The prevalence of pelvic organ prolapse of Miao women was higher than those of Buyi and Han women,while the prevalence of urinary incontinence of Miao women was lower than those of Buyi and Han women( P < 0. 05). Age,nationality,and delivery way were the common risk factors of pelvic organ prolapse,and urinary incontinence. Conclusion: There are differences of PFD prevalence among Miao,Buyi,and Han women. For the prevention of PFD,health education should be conducted in the way suitable to different national characteristics.

关键词(KeyWords)： 盆底功能障碍;尿失禁,压力性;子宫脱垂;问卷;少数民族;贵州
pelvic floor dysfunction:urinary incontinence;stress;prolapse of uterus;questionnaire;minority;Guizhou province

Abstract:

Keywords:

基金项目(Foundation): 贵州省科学技术厅[黔科合LG字(2011)032号]

作者(Author): 文芳,杨英捷,訾聃,罗畅,陈国庆,吴金健
WEN Fang,YANG Yingjie,ZI Dan,LUO Chang,CHEN Guoqing,WU Jinjian

DOI: 10.19367/j.cnki.1000-2707.2017.01.019

参考文献(References)：

• [1]Kepenekci I,Keskinkilic B,Akinsu F,et al.Prevalence of pelvic floor disorders in the female population and the impact of age,mode of delivery,and parity[J].Dis Colon Rectum,2011(1):85-94.
• [2]訾聃,何丽萍,杨英捷,等.黔南地区女性尿失禁患病情况调查分析[J].山东医药,2011(14):94-95.
• [3]郎景和.妇科泌尿学与盆底重建外科:过去、现在与将来(之一)[J].中华妇产科杂志,2004(10):649-651.
• [4]朱兰,郎景和,王宏,等.北京地区成年女性尿失禁的流行病学研究[J].中华医学杂志,2006(11):728-731.
• [5]于普林,石婧,刘雪荣,等.天津蓟县农村老年人尿失禁的现况调查[J].中华老年医学杂志,2009(8):696-699.
• [6]Thom DH,van den Eeden SK,Ragins AI,et al.Differences in prevalence of urinary incontinence by race/ethnicity[J].J Urol,2006(1):259-264.
• [7]Graham CA,Mallett VT.Race as a predictor of urinary incontinence and pelvic organ prolapse[J].Am J Obstet Gynecol,2001(1):116-120.
• [8]林忠,赵军玲,张政昌,等.广西地区壮族女性盆底功能障碍性疾病状况调查[J].中国妇产科临床杂志,2012(5):342-344.
• [9]何春妮,张淑萍,蔺玉红,等.新疆乌鲁木齐周边不同民族女性尿失禁调查分析[J].中国医师杂志,2009(10):1435-1436.
• [10]马太江.川黔滇邻区苗族医药文化探析[J].西南民族大学学报:人文社科版,2004(11):26-28.
• [11]于普林,石婧,刘雪荣,等.天津市蓟县农村老年人尿失禁患病率及相关因素分析[J].中华流行病学杂志,2009(8):766-771.
• [12]曾莉,周协呈.贵阳市汉族和苗族自然绝经年龄及其因素的分析[J].中国卫生标准管理,2016(9):4-6.
• [13]Dallosso H,Matthews R,Mc Grother C,et al.Diet as a risk factor for the development of stress urinary incontinence:a longitudinal study in women[J].Eur J Clin Nutr,2004(6):920-926.
• [14]Stewart E.Overactive bladder syndrome in the older woman:conservative treatment[J].Br J Community Nurs,2009(11):466-473.
• [15]Hagen S,Stark D,Glazener C,et al.Individualised pelvic floor muscle training in women with pelvic organ prolapse(POPPY):a multicentre randomised controlled trial[J].Lancet,2014(9919):796-806.
• [16]Bortolini MA,Drutz HP,Lovatsis D,et al.Vaginal delivery and pelvic floor dysfunction:current evidence and implications for future research[J].Int Urogynecol J,2010(8):1025-1030.
• [17]张新圆,万晓慧,古丽娜·阿巴拜克力.女性盆腔脏器脱垂患病危险因素分析[J].实用妇产科杂志,2010(5):369-371.
• [18]王建六,张晓红.女性盆底功能障碍性疾病的诊疗进展[J].中国实用妇科与产科杂志,2008(1):30-33.
• [19]张江萍,黄文湧,罗鹏,等.贵州省贫困地区农村妇女基本生育健康服务的利用[J].现代预防医学,2006(10):1903-1905.

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