首页|拉萨市840例女性盆底功能筛查结果分析

拉萨市840例女性盆底功能筛查结果分析

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目的 该研究旨在调查拉萨及周边地市女性盆底功能障碍性疾病(PFD)的发病情况,并探讨可能的影响因素.方法 选取拉萨市人民医院妇科盆底康复门诊840例盆底功能筛查者为研究对象,采用标准的筛查流程和诊断标准.通过问卷、手法肌力分类测试和POP-Q脱垂评分,对患者进行全面评估.结果 在840例参与筛查的人群中,产后42天随诊占87.98%,筛查者中肌力异常高达87%(730例),PFD的发生率为72%(605例).PFD中以尿失禁占比最高,其次是疼痛、性功能障碍、有症状Ⅲ°~Ⅵ°POP患者和粪失禁.检出率为依次37.50%、16.79%、11.67%、5.95%和0.12%.相关因素分析年龄、产次、分娩方式和文化水平是患PFD的危险因素(P<0.05).产次增加、年龄增长、文化水平低、阴道分娩增加患PFD的风险.结论 拉萨及周边地市女性盆底障碍性疾病的发病率较高,当地人群对PFD知晓率低,应对人群进行健康宣教,将盆底功能筛查列入健康体检项目,以便及早诊断、治疗及健康指导.
Analysis of the Screening Results for 840 Female Patients with Pelvic Floor Function in Lhasa City
The purpose of this study was to investigate the incidence of pelvic floor dysfunction(PFD)in wom-en in Lhasa and surrounding cities,and to explore the possible influencing factors.Methods A total of 840 patients with pelvic floor function screening in the gynecological pelvic floor rehabilitation clinic of Lhasa People's Hospital were selected as the study subjects,and the standard screening process and diagnostic criteria were used.The patients were comprehensively evaluated by questionnaires,manual muscle strength classification test and the POP-Q pro-lapse score.Results Of the 840 patients who participated in screening,87.98%were followed up at 42 days postpar-tum,87%had muscle strength abnormalities(730 cases),and the incidence of PFD was 72%(605 cases).Urinary in-continence accounted for the highest proportion of the PFD,followed by pain,sexual dysfunction,symptomatic Ⅲ°~Ⅵ° POP and fecal incontinence.The detection rates were 37.50%,16.79%,11.67%,5.95%and 0.12%.respective-ly.Analysis of related factors including age,number of births,delivery mode and education level were risk factors for PFD(P<0.05).Increased number of births,increasing age,low literacy,and vaginal birth increase the risk of PFD.Conclusion The incidence of pelvic floor dysfunction in women in Lhasa and surrounding cities is high.The local population has a low awareness rate of PFD.Health education should be carried out for the population,and the pelvic floor function screening should be included in health examination items for early diagnosis,treatment and health guidance.

High-altitudesPelvic floor dysfunctionScreening

徐小红、边巴卓玛、格央、雷建能、索朗白珍

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西藏拉萨市人民医院,拉萨 850030

高海拔地区 盆底功能障碍 筛查

2024

西藏科技
西藏科技信息研究所

西藏科技

影响因子:0.202
ISSN:1004-3403
年,卷(期):2024.46(12)