检验医学与临床2018，Vol.15Issue(9)：1259-1262,1265,5.DOI:10.3969/j.issn.1672-9455.2018.09.013
不同性别的肛门失禁患者生活质量差异
Quality of life differences in fecal incontinence patients of different gender
龚国杰 1牛伟亚 1孟塬 1艾尼瓦尔·巴高 1王俊 1许婧1
作者信息
- 1. 新疆维吾尔自治区人民医院北院普外科,乌鲁木齐830054
- 折叠
摘要
Abstract
Objective To evaluate and compare quality of life of fecal incontinence patients with different gender.Methods Retrospective analysis of 61 patients with fecal incontinence in our hospital from January 2013 to January 2016.Anorectal manometry and rectal endoscopic ultrasound examination were used to evalua-ted the pathophysiology of fecal incontinence.Using Wexner and Vaizey score scale to assess the severity of clinical symptoms,using anal incontinence(FIQL)or EuroQol(EQ-5D)to evaluate the quality of life of pa-tients,and analyze the data with statistical software.Results A total of 61 patients met the inclusion criteria, the cases with pelvic radiotherapy or low rectal resection in patients had significant difference between male and female(P<0.05).94.3% of women and 50.0% of men with sphincter dysfunction,42.3% of men and 71.4% of women had damaged the internal sphincter,the differences were significant(P<0.05),decreased rectal sensitivity was more in male.When Wexner score less than or equal to 9 points,FIQL score in the women was lower than men(P<0.05),and Wexner score more than 9 points,the dimension was significant difference except the way of life.The results showed that anxiety or depression dimension of EQ-5D score had significant difference(P=0.024).EQ-5D index data showed that women's health was significant worse than men(P=0.002).Cox regression analysis showed that Wexner score,gender,age and anxiety or depression were influencing factors of FIQL score.Conclusion Gender is one of the important factors affect the anus in-continence patients quality of life,of which the quality of life score in women is higher.The quality of life measurement should be as a part of the condition assessment and treatment.关键词
肛门失禁/性别/生活质量Key words
fecal incontinence/gender/quality of life分类
医药卫生引用本文复制引用
龚国杰,牛伟亚,孟塬,艾尼瓦尔·巴高,王俊,许婧..不同性别的肛门失禁患者生活质量差异[J].检验医学与临床,2018,15(9):1259-1262,1265,5.
