CAJ | 학술논문

目的调查北京地区成年女性膀胱过度活动症(OAB)的患病情况、相关危险因素及对患者生活质量的影响. 方法对北京市西城、海淀、石景山及昌平区各3个社区≥18岁的2973名女性进行排尿情况问卷调查.符合2002年国际尿控协会(ICS)OAB最新定义的调查对象进一步填写King健康问卷,通过King健康问卷分数评估OAB对患者生活质量的影响程度. 结果共获得完整有效问卷2379份(80.0%),被调查对象年龄18～90(43±12)岁.OAB总患病率为4.7%(112/2379),18岁～、30岁～、40岁～、50岁～、60岁～及≥70岁年龄组的患病率分别为2.2%、2.1%、4.7%、7.9%、9.8%及9.1%,城区患病率为2.0%,郊区为8.1%.多因素Logistic回归分析结果显示:年龄(OR=1.033,95%CI=1.016～1.051)、居住地区(OR=3.479,95%CI=2.184～5.541)、BMI(OR=1.155,95%CI=1.031～1.294)、焦虑程度(OR=3.635,95%CI=1.947～6.785)是成年女性OAB患病的危险因素.King健康问卷得分较高的项目为:一般健康状况(33.7±19.8)、睡眠/精力(31.3±27.6)及尿失禁程度(26.8±28.2). 结论北京地区≥18岁女性OAB患病率为4.7%,低于西方国家,郊区高于城区,并随着年龄、BMI及焦虑程度的增加而呈明显上升趋势.OAB严重影响了成年女性的生活质量.
목적 조사북경지구성년녀성방광과도활동증(OAB)적환병정황、상관위험인소급대환자생활질량적영향. 방법 대북경시서성、해정、석경산급창평구각3개사구≥18세적2973명녀성진행배뇨정황문권조사.부합2002년국제뇨공협회(ICS)OAB최신정의적조사대상진일보전사King건강문권,통과King건강문권분수평고OAB대환자생활질량적영향정도. 결과 공획득완정유효문권2379빈(80.0%),피조사대상년령18～90(43±12)세.OAB총환병솔위4.7%(112/2379),18세～、30세～、40세～、50세～、60세～급≥70세년령조적환병솔분별위2.2%、2.1%、4.7%、7.9%、9.8%급9.1%,성구환병솔위2.0%,교구위8.1%.다인소Logistic회귀분석결과 현시:년령(OR=1.033,95%CI=1.016～1.051)、거주지구(OR=3.479,95%CI=2.184～5.541)、BMI(OR=1.155,95%CI=1.031～1.294)、초필정도(OR=3.635,95%CI=1.947～6.785)시성년녀성OAB환병적위험인소.King건강문권득분교고적항목위:일반건강상황(33.7±19.8)、수면/정력(31.3±27.6)급뇨실금정도(26.8±28.2). 결론 북경지구≥18세녀성OAB환병솔위4.7%,저우서방국가,교구고우성구,병수착년령、BMI급초필정도적증가이정명현상승추세.OAB엄중영향료성년녀성적생활질량.
Objective To evaluate the prevalence, associated risk factors and the impact on health related quality of life of overactive bladder (OAB) syndrome in Beijing adult women. Methods In the Community-based, cross-sectional study, 2973 women aged over 18 years who lived in urban and suburban communities respectively in Beijing were interviewed through Voiding Function Questionnaire, using a stratified system sampling approach. The women meeting the diagnostic criteria of OAB using the International Continence Society (ICS) definition were further interviewed through King's health questionnaire(KHQ) to estimate the impact of OAB on health related quality of life in Beijing adult women. Results A total of 2379(80.0%) women with complete data were included in this study. The overall prevalence of OAB was 4.7% (112/2379)and demonstrated an significant increasing with advancing age (P＜0.01). The prevalence of OAB was 2.0% in urban and 8. 1 % in suburban. In multiple logistic models, age, BMI, region of residence and anxiety level were associated risk factors for OAB. The result of King's health questionnaire showed the symptoms of OAB affect general health perception and sleep and energy severely. Conclusions The prevalence of OAB in Bei-jing adult women is 4.7%, lower than that of most reports in Occidental women, increases with advancing age, higher BMI and higher anxiety level, and is higher in suburban than in urban. The symptoms of OAB have a detrimental effect on quality of life.