在美国妇女中,有症状的骨盆底疾病的患病率
Ingrid Nygaard1, Matthew D Barber, Kathryn L Burgio
1Department of Obstetrics and Gynecology, University of Utah School of Medicine, 30 N 1900 E, Salt Lake City, UT 84132-2209, USA. ingrid.nygaard@hsc.utah.edu
JAMA
|September 19, 2008
概括
骨盆地疾病,包括尿失禁,便失禁和骨盆器官脱落,影响了近四分之一的美国女性. 患病率随着年龄,性别平等和体重增加而显著增加.
科学领域:
- 泌尿后科和妇女健康研究.
- 骨盆底疾病的流行病学.
背景情况:
- 骨盆底疾病 (PFDs),如尿失禁,便失禁和骨盆器官脱落在女性中很常见.
- 现有的国家数据缺乏对美国同一个基于人口的样本内的多个PFD的综合流行率估计.
研究的目的:
- 为了确定全美妇女患有症状性盆底疾病的全国患病率.
- 为了确定尿失禁,便失禁和骨盆器官脱落的流行率.
主要方法:
- 从2005-2006年国家健康和营养检查调查中对1961名20岁及以上的非怀孕妇女进行横截面分析.
- 标准化采访和体检被用来评估尿失禁,便失禁和骨盆器官脱落的症状.
- 针对每个疾病和至少一个PFD的存在,计算了加权的患病率估计.
主要成果:
- 至少有一种骨盆底疾病的总体患病率为23.7%.
- 具体患病率包括尿失禁 (15.7%),便失禁 (9.0%) 和骨盆器官脱落 (2.9%).
- 随着年龄和性别平价而增加的PFD患病率,与正常体重女性相比,超重和肥胖女性的患病率更高.
结论:
- 盆地疾病是一个重大的公共卫生问题,影响了女性人口的很大一部分.
- 随着年龄和性别平等的增加,PFD的发病率显示出明显的上升趋势.
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