温州女性盆底功能障碍性疾病流行病学研究

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Abstract Objective: To investigate the epidemiology of pelvic floor dysfunction (PFD) of the women in Wenzhou, analyze the relative risk factors resulted in PFD and study the differences of the prevalence of PFD between rural areas and urban areas. Methods: A total of 986 women recruited randomly were performed questionnaire survey and gynecological examination. The data were analyzed by Univariate Chi-square test and the logistic regression. Results: The prevalence of pelvic organ prolapsed (POP), stress incontinence (SUI), fecal incontinence (FI) of the women in Wenzhou was 17%, 24.7% and 0.7% respectively. The multivariate logistic regress analysis of the risk factors of POP showed that vaginal delivery (OR 3.5), age>40 (OR 2.1) and diabetes mellitus (OR 3.4) contributed to the development of POP; The multivariate logistic regress analysis of the risk factors of SUI showed that chronic cough (OR 3.6), hypertension (OR 1.7), vaginal delivery (OR 2.6), BMI≥25 kg/m2 (OR 1.7), education level below junior middle school (OR 1.4) and age>40 (OR 1.4) contributed to the development of SUI. Conclusion: The prevalence rate of PFD shows a general trend of increase with age. The independent risk factors of PFD are vaginal delivery, age>40, diabetes mellitus, chronic cough, hypertension, BMI≥25 kg/m2, education level below junior middle school. It is necessary to enhance the health education about PFD for women in Wenzhou,so that to prevent PFD effectively and make progress of life quality of the women with PFD.

Key words： pelvic organ prolapse stress incontinence fecal incontinence risk factor

Received: 09 November 2015

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	CHEN Cong
	LU Yi
	PENG Jiwen
	HU Yanjun
	LIN Xiaohua
	WU Xueqing

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2016/V46/I3/194

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