妇科良性疾病患者下尿路症状及对患者生活质量影响的调查
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摘要
目的调查妇科良性疾病患者中下尿路症状的发生情况,分析其对患者生活质量的影响。方法对2012年10月至2019年5月于本院普通妇科门诊就诊、年龄≥18岁的患者2 700例进行排尿情况及其对生活质量的影响的问卷调查,结合病历记录月经史及就诊疾病情况进行分析。结果①共收回有效问卷2 353(87.1%),其年龄18～97岁,中位年龄38岁,体质指数(BMI)14～40 kg/m2,中位数22.1 kg/m2,绝经者20.5%(482/2 353);②76.5%(1 799/2 353)的患者至少有一种下尿路症状(LUTS),储尿期症状的患病率(71.7%,1 686/2 353)高于排尿期症状(28.8%,677/2 353)(P <0.05)。尿频(36.0%,846/2 353)患病率最高,其次是尿失禁(35.7%,841/2 353)和尿急(30.4%,715/2 353)。压力性尿失禁、急迫性尿失禁、混合性尿失禁和其他类型尿失禁的患病率分别是20.4%(481/2 353)、3.9%(92/2 353)、8.2%(193/2 353)和0. 8%(19/2 353)。>50岁人群中LUTS、储尿期症状、尿失禁患病率高于≤50岁人群(P <0.05)。盆腔器官脱垂患者中LUTS的患病率(93.5%)与无盆腔器官脱垂患者(76.2%)比较,差异有统计学意义(P <0.05)。结论妇科良性疾病患者76.5%伴发LUST,年龄、BMI、是否绝经、盆腔器官脱垂与LUTS相关。
Objective To investigate the occurrence of lower urinary tract symptoms(LUTS) in patients with benign gynecological diseases and analyze their effects on patients' quality of life. Methods 2 700 outpatients aged ≥ 18 years from our ordinary gynecology clinic in October to November of 2012 and April to May of 2019 were interviewed with voiding function questionnaire, combined with the medical records, menstrual history and medical conditions were analyzed.Results ① A total of 2 353(87.1%) outpatients with complete data were included in this study. The survey population aged18 to 97 years old, with a median age of 38 years old, the body mass index(BMI) of the population was 14 to 40 kg/m~2, with a median BMI of 22.1 kg/m~2. Menopause women accounted for 20.5%(482/2 352). ② 76.5%(1 799/2 353) patients had one LUTS at least, and the prevalence of urinary storage symptoms(71.7%, 1 686/2 353) was higher than that of urination symptoms(28.8%, 677/2 353)(P < 0.05). In the LUTS, the highest prevalence was frequent voiding(36.0%, 846/2 353), followed by incontinence(35.7%, 841/2 353), urgency(30.4%, 715/2 353). The prevalence rates of stress incontinence, urge incontinence,mixed incontinence and other types of incontinence was 20.4%(481/2 353), 3.9%(92/2 353), 8.2%(193/2 353) and 0.8%(19/2 353), respectively. The prevalence of LUTS, urinary storage symptoms and urinary incontinence in > 50-year-old group was higher than that in ≤ 50-year-old group(P < 0.05). The prevalence of LUTS in patients with pelvic organ prolapse(93.5%)was higher than patients without pelvic organ prolapse(76.2%).The difference has statistically significant(P < 0.05).Conclusion 76.5% of patients with gynecological benign diseases were associated with LUST, and LUTS were correlated with age, BMI, menopause or not, and pelvic organ prolapse.
Objective To investigate the occurrence of lower urinary tract symptoms(LUTS) in patients with benign gynecological diseases and analyze their effects on patients' quality of life. Methods 2 700 outpatients aged ≥ 18 years from our ordinary gynecology clinic in October to November of 2012 and April to May of 2019 were interviewed with voiding function questionnaire, combined with the medical records, menstrual history and medical conditions were analyzed.Results ① A total of 2 353(87.1%) outpatients with complete data were included in this study. The survey population aged18 to 97 years old, with a median age of 38 years old, the body mass index(BMI) of the population was 14 to 40 kg/m~2, with a median BMI of 22.1 kg/m~2. Menopause women accounted for 20.5%(482/2 352). ② 76.5%(1 799/2 353) patients had one LUTS at least, and the prevalence of urinary storage symptoms(71.7%, 1 686/2 353) was higher than that of urination symptoms(28.8%, 677/2 353)(P < 0.05). In the LUTS, the highest prevalence was frequent voiding(36.0%, 846/2 353), followed by incontinence(35.7%, 841/2 353), urgency(30.4%, 715/2 353). The prevalence rates of stress incontinence, urge incontinence,mixed incontinence and other types of incontinence was 20.4%(481/2 353), 3.9%(92/2 353), 8.2%(193/2 353) and 0.8%(19/2 353), respectively. The prevalence of LUTS, urinary storage symptoms and urinary incontinence in > 50-year-old group was higher than that in ≤ 50-year-old group(P < 0.05). The prevalence of LUTS in patients with pelvic organ prolapse(93.5%)was higher than patients without pelvic organ prolapse(76.2%).The difference has statistically significant(P < 0.05).Conclusion 76.5% of patients with gynecological benign diseases were associated with LUST, and LUTS were correlated with age, BMI, menopause or not, and pelvic organ prolapse.
引文
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[9]谈诚,钱惠勤,王彦洁,等.全子宫切除术对子宫肌瘤患者下尿路症状影响的前瞻性研究[J].中国妇产科临床杂志,2018,19(4):315-318.
[10]Aydin GA,Yavuz A.Adenomyosis and urinary system symptoms[J].Eur J Obstet Gynecol Reprod Biol,2018,224:74-76.
[11]Ting Li,Xiao Xuan Xu,Yi Dai,et al.Menorrhagia and uterine volume associated with lower urinary tract symptoms in patients with adenomyosis[J].CMJ,2017,130(13):1552-1556
[12]Romano CD,Lewis S,Barrett A,et al.Development of the Nocturia Sleep Quality Scale:a patient-reported outcome measure of sleep impact related to nocturia[J].Sleep Med,2019.pii:S1389-9457(18)30724-X.
[2]Coyne KS,Sexton CC,Thompson CL,et al.The prevalence of lower urinary tract symptoms(LUTS)in the USA,the UK and Sweden:results from the epidemiology of LUTS(EpiLUTS)study[J].BJU Int,2009,104(3):352-360.
[3]Irwin DE,Milsom I,Hunskaar S,et al.Population-based survey of urinary incontinence,overactive bladder,and other lower urinary tract symptoms in five countries:results of the EPICstudy[J].Eur Urol,2006,50(6):1306-1314.
[4]Chapple C,Castro-Diaz D,Chuang YC,et al.Prevalence of lower urinary tract symptoms in China,Taiwan,and South Korea:Results from a cross-sectional,population-based study[J].Adv Ther,2017,34(8):1953-1965.
[5]Coyne KS,Sexton CC,Thompson CL,et al.The prevalence of lower urinary tract symptoms(LUTS)in the USA,the UK and Sweden:results from the Epidemiology,of LUTS(EpiLUTS)study[J].BJU Int,2009,104(3):352-360.
[6]Wang YL,Hu H,Xu KX,et al.Prevalence,risk factors and the bother of lower urinary tractsymptoms in China:a populationbased survey[J].Int Urogynecol J,2015,26(6):911-919.
[7]Zhang L,Zhu L,Xu T,et al.A population-based survey of the prevalence,potential risk factors,and symptom-specific bother of lower urinary tract symptoms in adult Chinese women[J].European.Urology,2015,68(1)113-114.
[8]Bilgic D,Gokyildiz Surucu S,Kizilkaya Beji N,et al.Sexual function and urinary incontinence complaints and other urinary tract symptoms of perimenopausal Turkish women[J].Psychol Health Med,2019,25(7):1-12.
[9]谈诚,钱惠勤,王彦洁,等.全子宫切除术对子宫肌瘤患者下尿路症状影响的前瞻性研究[J].中国妇产科临床杂志,2018,19(4):315-318.
[10]Aydin GA,Yavuz A.Adenomyosis and urinary system symptoms[J].Eur J Obstet Gynecol Reprod Biol,2018,224:74-76.
[11]Ting Li,Xiao Xuan Xu,Yi Dai,et al.Menorrhagia and uterine volume associated with lower urinary tract symptoms in patients with adenomyosis[J].CMJ,2017,130(13):1552-1556
[12]Romano CD,Lewis S,Barrett A,et al.Development of the Nocturia Sleep Quality Scale:a patient-reported outcome measure of sleep impact related to nocturia[J].Sleep Med,2019.pii:S1389-9457(18)30724-X.