| Objective: To investigate the epidemiology of urinary incontinence and pelvic floor dysfunction(PFD) in Shandong community and to assess the relative factors of pelvic floor dysfunction and the quality of life of human.Methods: A questionnaire survey was conducted among people in some community in Shandong people from march 2006～ October 2006 ,The clinic information was adopted through questionnaire survey;gynecology check-up and urinary incontinence's(UI) assistant check-up:Juduccing test; Mashall-Marchett test; Q-tiptest and Pelvic organ prolapse quantification system .The dignosis criteria of UI and pelvic organ prolapse(POP) were determined in accordance with international continence society(ICS) .The data were input into the spss13.0 for statistic analysis .logistic regress analysis was adopted to analyze the relavent factors of SUI and POP, X~2test was adopted to analyze the relations between UI and age. X~2 test was adopted to analyze the relations between SUI and delivery mode;pregnancy time. X test was adopted to analyze the relations between POP and age. X~2 test was adopted to analyze the relations of POP and delivery mode; pregnancy time.Result:1. The prevalence of the urinary incontinence (UI):A totle of 2354 people was investigated ,2326 questionnaires was effective; the age of people was from 19 to 70years old, the average age was 36.8 (39.54±15.13)years.The prevalence of UI was 24.59% (572/2326) , the prevalence of SUI was 12.3% (286/2326) ;the prevalence of mixed urinary Incontinence (MUI) was 9.67% (225/2326) ;the prevalence of urge urinary Incontinence (UUI) was 2.62% (61/2326) .2. The relations between SUI and pregnancy:the prevalence of SUI was 1.1% (1/89) in nulliparous , the prevalence of SUI was 13.7% (266/1939) in vaginalchildbirth, the prevalence of SUI was 6.3% (19/298) in Caesarean birth, the prevalence of SUI was 1.4% (1/68) ; 5.89% (29/492) ; 10.85% (56/516; 14.71% (69/469);16.90%(61/361);18.18%(60/330)respectively in women who pregnancy zero time ;one time; two time; three time ; four time; five time .3. The relavent factors of SUI : Age OR: 1.251 95%CI 1.018-1.538, Conatipation OR: 1.7 95%CI1.3-6.8; Hysterectomy OR: 3.77 95%CI3.12-9.6; Delivery through vagina OR: 2.8 95%CI 1.1-7.4;Childbirth OR: 1.533 95%CI 1.100-2.137;Delivery process prolong OR: 3.7 95%CI 1.4-9.6;Perineum rupture OR: 1.25 95%CI1.03-1.54.4. The relations between POP and pregnancy:The prevalence of POP was 13.1% (305/2326) , the prevalence of POP was 1.1% (1/89) in nulliparous , the prevalence of POP was 14.9%(289/1939)in vaginal childbirth, the prevalence of POP was 5.3% (15/298) in Caesarean birth . the prevalence of POP was 0.00%(0/68); 5.86%(28/492); 6.77%(34/516; 12.28%(56/469); 29.89%(104/361); 24.60%(78/330) respectively in women who pregnancy zero time ; one time; two time; three time ; four time; five time .5. The relavent factors of POP : Age OR: 3.0 95%CI 1.17-7.89; Conatipation OR:2.06 95%CI1.85-2.0; Hysterectomy OR: 5.08 95%CI2.39-9.42; Delivery through vagina OR: 2.76 95%CI 2.31-3.30; Childbirth OR: 2.76 95%CI 1.40-5.14; Delivery process prolong OR: 2.3 95%CI1.46-5.67; menopausal OR:1.32 95%CI0.89-2.9 .6. The relavent factors of POP : SUI and POP was defined as PFD, the prevalence was 25.4% (591/2326) . The relavent factors of PFD was Age; Conatipation; Hysterectomy; Delivery through vagina; Delivery process prolong.Conclusion: 1. The prevalence of urinary incontinence increases with age increasing;2. Age; Conatipation; Hysterectomy; Delivery through vagina ; Childbirth ; Delivery process prolong and Perineum rupture are relavent factors of SUI;3. Age ; Conatipation ; Hysterectomy ; Delivery through vagina ; Childbirth ; Delivery process prolong and menopausal are relavent factors of POP ;4. Age ; Conatipation ; Hysterectomy ; Delivery through vagina ; Childbirth and Delivery process prolong are relavent factors of PFD. |
