中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2014年
5期
815-819
,共5页
膀胱过度活动症%育龄期%分娩%ICIQ
膀胱過度活動癥%育齡期%分娩%ICIQ
방광과도활동증%육령기%분면%ICIQ
Overactive bladder%Reproductive age%Parturition%International consultation on incontinence questionnaire
目的：验证绝经前期女性存在膀胱过度活动症（OAB）及其与分娩资料的相关性。方法本研究采用国际尿失禁咨询委员会问卷（ICIQ）-OAB 问卷（国际尿控协会标准）中文版本和人口数据问卷调查深圳市龙岗区某社区2104名，20～45岁女性OAB症状。结果 ICIQ-OAB问卷得分由高到低依次为经产妇、初产妇和未产妇。其中经产妇尿频发生率也比未产妇高（P＜0.0001）。未产妇夜尿症发生率比初产妇和经产妇低（P＜0.0001）。各组间急迫性尿失禁的发生率无统计学差异（P＝0.0682），但经产妇急迫性尿失禁发生率较未产妇高（P＝0.0313）。虽然剖宫产和经阴道分娩妇女ICIQ-OAB问卷得分无明显差异，但是阴道分娩妇女得分较剖宫产妇女高。结论随着分娩次数的增加即由未产妇、初产妇到经产妇，出现OAB症状的危险性增加。与未产妇相比，无论哪种分娩方式均与ICIQ-OAB问卷得分高（更严重的症状）相关。
目的：驗證絕經前期女性存在膀胱過度活動癥（OAB）及其與分娩資料的相關性。方法本研究採用國際尿失禁咨詢委員會問捲（ICIQ）-OAB 問捲（國際尿控協會標準）中文版本和人口數據問捲調查深圳市龍崗區某社區2104名，20～45歲女性OAB癥狀。結果 ICIQ-OAB問捲得分由高到低依次為經產婦、初產婦和未產婦。其中經產婦尿頻髮生率也比未產婦高（P＜0.0001）。未產婦夜尿癥髮生率比初產婦和經產婦低（P＜0.0001）。各組間急迫性尿失禁的髮生率無統計學差異（P＝0.0682），但經產婦急迫性尿失禁髮生率較未產婦高（P＝0.0313）。雖然剖宮產和經陰道分娩婦女ICIQ-OAB問捲得分無明顯差異，但是陰道分娩婦女得分較剖宮產婦女高。結論隨著分娩次數的增加即由未產婦、初產婦到經產婦，齣現OAB癥狀的危險性增加。與未產婦相比，無論哪種分娩方式均與ICIQ-OAB問捲得分高（更嚴重的癥狀）相關。
목적：험증절경전기녀성존재방광과도활동증（OAB）급기여분면자료적상관성。방법본연구채용국제뇨실금자순위원회문권（ICIQ）-OAB 문권（국제뇨공협회표준）중문판본화인구수거문권조사심수시룡강구모사구2104명，20～45세녀성OAB증상。결과 ICIQ-OAB문권득분유고도저의차위경산부、초산부화미산부。기중경산부뇨빈발생솔야비미산부고（P＜0.0001）。미산부야뇨증발생솔비초산부화경산부저（P＜0.0001）。각조간급박성뇨실금적발생솔무통계학차이（P＝0.0682），단경산부급박성뇨실금발생솔교미산부고（P＝0.0313）。수연부궁산화경음도분면부녀ICIQ-OAB문권득분무명현차이，단시음도분면부녀득분교부궁산부녀고。결론수착분면차수적증가즉유미산부、초산부도경산부，출현OAB증상적위험성증가。여미산부상비，무론나충분면방식균여ICIQ-OAB문권득분고（경엄중적증상）상관。
Objective To verify the presence of overactive bladder (OAB) symptoms in premenopausal women and relate them with child-bearing data. Methods We interviewed 2104 women aged 20-45 years in the district of Longgang to investigate the prevalence of OAB symptoms. In this study we used the International Consultation on Incontinence Questionnaire-Overactive Bladder (ICIQ-OAB) questionnaire (International Continence Society standard), in its validated chinese version and a specific questionnaire for the demographics. Results Overall, ICIQ-OAB questionnaire scores in descending order by multiparous, primiparous and nulliparous women. Multiparous women also presented more frequency than nulliparous women (P<0.000 1). Nulliparous women presented less nocturia than primiparous or multiparous women (P<0.000 1). No significant differences were found in urgency (P=0.068 2), and multiparous women presented more urgency incontinence than nulliparous ones (P=0.031 3). There were no significant differences between cesarean and vaginal delivery, but the scores of women who had vaginal delivery were higher than those who had cesareans. Conclusion From multiparous, primiparous to nulliparous women, with the increase in the number of deliveries the risk of OAB symptoms increase. Both types of delivery were related to higher ICIQ-OAB scores (more severe symptoms) than those of nulliparous women.
