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OACSTPCD

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.