OAB Epidemiological Survey of General Gynaecology Outpatients and Its Effects on Patient Quality of Life
OAB Epidemiological Survey of General Gynaecology Outpatients and Its Effects on Patient Quality of Life
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DOI：
10.1002/nau.22659
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发表时间：
2016-01-01
影响因子：
2
通讯作者：
Wang, Jian L.
中科院分区：
文献类型：
--
作者：
An, Fang;Yang, Xin;Wang, Jian L.
目的：目的了解妇科门诊患者膀胱过度活动症（OAB）的患病率、与常见妇科良性疾病的关系及其对患者生活质量的影响。方法：对2012年10月至11月在我院就诊的2500名年龄≥ 18岁的妇科门诊患者进行了排尿及其对生活质量影响的问卷调查。此外，根据他们的医疗记录，记录了他们的月经史和疾病。结果：共回收有效问卷2161份，有效问卷率为86.4%。总OAB患病率为8.8%（191/2161），> 50岁女性OAB患病率明显高于男性（X-2 = 7.656，P < 0.05）。此外，盆腔器官脱垂患者的OAB患病率（25.8%）明显高于无盆腔器官脱垂患者的OAB患病率（8.6%）（X-2 = 11.238，P < 0.05）。多因素Logistic回归分析显示年龄（OR = 1.504，95%CI = 1.072-2.111）和盆腔器官脱垂（OR = 2.512，95%CI = 1.109-5.688）是OAB的危险因素。此外，随着OAB严重程度的增加，其对OAB患者生活质量的影响也相应增加，如尿急、尿频、尿失禁等。结论：妇科门诊患者中OAB患病率为8.8%，随着病情的加重，OAB对生活质量的影响逐渐增加。(C)2014 Wiley Periodicals，Inc.
Aims: To survey the prevalence rate of overactive bladder (OAB) among general gynaecology outpatients, it's connection to common benign gynaecological diseases and its effects on patient quality of life (QOL). Method: A questionnaire survey on urination and its effects on QOL was administered to 2500 general gynaecology outpatients aged >= 18 who visited our hospital which is in Peking between October and November 2012. Additionally, their menstrual history and diseases were documented, according to their medical records. Results: In total, 2161 effective questionnaires (86.4%) were collected from the respondents, who were aged 18-97 years. The overall OAB prevalence rate was 8.8% (191/2161), and the OAB prevalence rate in women > 50 years was significantly higher (X-2 = 7.656, P < 0.05). Moreover, the OAB prevalence rate (25.8%) among patients suffering from pelvic organ prolapse was significantly higher than the rate (8.6%) among patients without pelvic organ prolapse (X-2 = 11.238, P < 0.05). Multi-factor logistic regression indicated that age (OR = 1.504, 95% CI = 1.072-2.111) and pelvic organ prolapse (OR = 2.512, 95% CI = 1.109-5.688) were risk factors for OAB among the respondents. Additionally, with the rise of OAB severity, its effects on the QOL of OAB patients, like urinary urgency, nocturia, frequency and urge incontinence increased accordingly. Conclusions: The OAB prevalence rate among general gynaecology outpatients was 8.8%, and the effects of OAB on QOL increased with the worsening of the disease. (C) 2014 Wiley Periodicals, Inc.