临床误诊误治2024，Vol.37Issue(4)：42-46,5.DOI:10.3969/j.issn.1002-3429.2024.04.009
绝经期压力性尿失禁合并膀胱过度活动综合征的危险因素研究
Risk Factors of Stress Urinary Incontinence in Menopausal Women Com-bined with Overactive Bladder Syndrome
摘要
Abstract
Objective To explore the risk factors of overactive bladder(OAB)syndrome in menopausal patients combined with stress urinary incontinence(SUI).Methods A total of 136 menopausal women with SUI admitted from Octo-ber 2019 to October 2022 were selected as the research subjects,and divided into the OAB group(urinary urgency score≥2 points and total score≥3 points)(n=25)and the non-OAB group(n=111)according to the overactive bladder syn-drome score(OABSS).The relevant clinical data,OABSS,self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)scores of the two groups were compared.Univariate and multivariate Logistic regression were used to analyze the relat-ed factors affecting menopausal patients with SUI and OAB.Results The scores of OABSS,SAS and SDS in OAB group were higher than those in non-OAB group(P＜0.01).There were significant differences between OAB group and non-OAB group with respect to body mass index(BMI),pregnancy frequency,history of pelvic surgery,diabetes mellitus,constipation histo-ry,anxiety and bladder control habits(P＜0.05,P＜0.01).Multivariate Logistic regression analysis showed that BMI＞28 kg/m2,number of pregnancies≥2,history of pelvic surgery and history of constipation were independent risk factors for menopausal with SUI and OAB(OR=2.208,2.307,2.651 and 2.686,P＜0.05).Conclusion It is common for menopa-usal patients with SUI to have OAB,and clinical attention should be focused on patients with BMI＞28 kg/m2,number of pregnancies≥2,history of pelvic surgery,and history of constipation.关键词
尿失禁,压力性/绝经期/膀胱过度活动综合征/危险因素/体质量指数/妊娠次数/便秘/焦虑Key words
Urinary incontinence,stress/Menopausal/Overactive bladder syndrome/Risk factor/Body mass in-dex/Number of pregnancies/Constipation/Anxiety分类
临床医学引用本文复制引用
居锦芬,聂思佩,李炜虹,吴艳,武茜..绝经期压力性尿失禁合并膀胱过度活动综合征的危险因素研究[J].临床误诊误治,2024,37(4):42-46,5.基金项目
国家自然科学基金资助项目(82203117) （82203117）
