绝经期压力性尿失禁合并膀胱过度活动综合征的危险因素研究
Risk Factors of Stress Urinary Incontinence in Menopausal Women Com-bined with Overactive Bladder Syndrome
居锦芬 1聂思佩 2李炜虹 1吴艳 1武茜1
作者信息
- 1. 210008 南京,南京市中心医院妇科
- 2. 211100 南京,南京医科大学附属江宁医院妇产科
- 折叠
摘要
目的 探讨绝经期压力性尿失禁(SUI)合并膀胱过度活动综合征(OAB)的危险因素.方法 选取2019 年10 月—2022 年10 月收治的136 例女性绝经期SUI为研究对象,依据膀胱过度活动综合征评分(OABSS)分为OAB(尿急评分≥2 分,且总分≥3 分)组 25 例和无OAB组 111 例.比较 2 组相关临床资料、OABSS、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分.采用单因素、多因素Logistic回归分析影响绝经期SUI患者合并OAB的相关因素.结果 OAB组OABSS、SAS和SDS评分均高于无OAB组(P＜0.01).OAB组与无OAB组在体质量指数(BMI)、妊娠次数、盆腔手术史、合并糖尿病、便秘史、焦虑和憋尿习惯方面比较差异有统计学意义(P＜0.05,P＜0.01).多因素Logistic回归分析显示,BMI＞28 kg/m2、妊娠次数≥2 次、有盆腔手术史和有便秘史均为影响绝经期SUI合并OAB的独立危险因素(OR=2.208、2.307、2.651 和2.686,P＜0.05).结论 绝经期SUI患者合并OAB较为常见,临床需重点关注BMI＞28 kg/m2、妊娠次数≥2 次、有盆腔手术史和有便秘史的患者.
Abstract
Objective To explore the risk factors of overactive bladder(OAB)syndrome in menopausal patients combined with stress urinary incontinence(SUI).Methods A total of 136 menopausal women with SUI admitted from Octo-ber 2019 to October 2022 were selected as the research subjects,and divided into the OAB group(urinary urgency score≥2 points and total score≥3 points)(n=25)and the non-OAB group(n=111)according to the overactive bladder syn-drome score(OABSS).The relevant clinical data,OABSS,self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)scores of the two groups were compared.Univariate and multivariate Logistic regression were used to analyze the relat-ed factors affecting menopausal patients with SUI and OAB.Results The scores of OABSS,SAS and SDS in OAB group were higher than those in non-OAB group(P＜0.01).There were significant differences between OAB group and non-OAB group with respect to body mass index(BMI),pregnancy frequency,history of pelvic surgery,diabetes mellitus,constipation histo-ry,anxiety and bladder control habits(P＜0.05,P＜0.01).Multivariate Logistic regression analysis showed that BMI＞28 kg/m2,number of pregnancies≥2,history of pelvic surgery and history of constipation were independent risk factors for menopausal with SUI and OAB(OR=2.208,2.307,2.651 and 2.686,P＜0.05).Conclusion It is common for menopa-usal patients with SUI to have OAB,and clinical attention should be focused on patients with BMI＞28 kg/m2,number of pregnancies≥2,history of pelvic surgery,and history of constipation.
关键词
尿失禁,压力性/绝经期/膀胱过度活动综合征/危险因素/体质量指数/妊娠次数/便秘/焦虑Key words
Urinary incontinence,stress/Menopausal/Overactive bladder syndrome/Risk factor/Body mass in-dex/Number of pregnancies/Constipation/Anxiety引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据