绝经前和绝经后女性尿失禁的患病率及危险因素

A. Ahmed, M. Hanafy, Doaa M. Saleh
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引用次数: 1

摘要

背景:虽然尿失禁(UI)不是一种危及生命的疾病,但它已被证明在心理和社会方面对生活质量有不利影响,并对女性的性行为产生负面影响。目的和目的评估绝经前和绝经后女性尿失禁的患病率和危险因素。在获得所有参与者的知情同意后,从2020年8月至2021年1月,在Al-Zahraa大学医院和Kafr El-Sheikh总医院的妇科和泌尿科门诊对1000名年龄在40至70岁之间的女性进行了一项横断面研究。结果压力性尿失禁患者会阴切开术后胎次(3次及以上)增加,分娩正常,有统计学意义。急迫性尿失禁组分娩并发症和BMI增加有统计学意义,混合性尿失禁组绝经期和年龄增加有统计学意义。结论本研究显示女性尿失禁发生率中等。尿失禁的相关危险因素为年龄较大、肥胖、绝经、使用器械(产钳和输尿管)、胎次高、会阴切开术后正常分娩;同时,我们发现剖宫产对尿失禁有保护作用。女性患者的日常生活质量受到更大的负面影响。
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Prevalence and risk factors of urinary incontinence among premenopausal and postmenopausal females
Background Although urinary incontinence (UI) is not a life-threatening disorder, it has been shown to have detrimental effects on quality of life in terms of psychological and social, associated with negative effects on women’s sexuality. Aim and objectives To estimate the prevalence and assess risk factors of UI among premenopausal and postmenopausal females. Patients and methods A cross-sectional study was carried out at gynecological and urological outpatient clinics at Al-Zahraa University Hospital and Kafr El-Sheikh General Hospital, on 1000 females with their ages ranging from 40 to 70 after taking informed consent from all participants, from August 2020 to January 2021. Results There was statistically significant increased parity (three times or more), normal delivery with episiotomy in stress UI. Also, there were statistically significant increased delivery complications and BMI in urge UI and there was statistically significant increased menopause and age in mixed UI. Conclusion The present study showed a moderate prevalence of urine incontinence between females. The associated risk factors of urine incontinence were older age, obesity, menopause, using of instruments (forceps and ventuse), high parity, and normal delivery with episiotomy; also, we found that cesarean delivery has a protective role for UI. The quality of daily life was affected more negatively in women with UI.
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