Prevalence and Impact of Female Lower Urinary Tracts Symptoms in the Eastern Area of Taipei City

女性下泌尿道症狀在臺北東區之盛行率及其影響

薛又仁(Thomas Y. Hsueh) ； 吳孟凌(Meng-Ling Wu) ； 盧星華(Shing-Hwa Lu) ； 邱文祥(Allen W. Chiu) ； 黃逸修(Yi-Hsiu Huang) ； 黃偉榮(We-Jong Huang) ； 陳進典(Gin-Den Chen) ； 洪滿榮(Man-Jong Hon)

《北市醫學雜誌》 3卷2期 (2006/02) Pp. 173-180

https://doi.org/10.6200/TCMJ.2006.3.2.08

摘要

目的：評估女性尿失禁在臺北東區之盛行率及女性下泌尿道症狀對生活品質的影響。方法：自西元2005年10月至西元2005年12月，在臺北東區共有1137位婦女，其平均年齡為48.3歲，接受問卷(The Bristol Female Urinary Tract Symptoms Questionnaire)訪問，以年齡、結婚與否、經陰道生產次數及教育程度將受測女性分為不同組別進行比較。以卡方檢定及費雪氏精確檢定進行統計分析及比較。結果：尿失禁之平均盛行率為36.43%，但在40歲以上女性之盛行率為39.97%。刺激性排尿症狀（頻尿、急迫性尿液感及夜尿）在年齡、結婚與否、經陰道生產次數及教育程度等方面比較可發現明顯之相關性。經陰道生產次數及教育程度對排尿症狀及生活品質有明顯影響。評估骨盆腔相關之症狀，發現年齡、結婚與否、經陰道生產次數及教育程度對下背疼痛及性交疼痛等症狀有明顯影響。結論：臺北都會區東區之尿失禁盛行率與西方國家相似，約為36.43%。

關鍵字

尿失禁 ； 生活品質 ； 盛行率

並列摘要

Background and Purpose: To investigate the prevalence of female urinary incontinence in the eastern area of Taipei City and evaluate the impact of female lower urinary tract symptoms on health-related quality of life. Methods: From October 2005 to December 2005, total 1137 women with the mean age of 48.3 years old were successfully interviewed at the eastern area of Taipei metropolitan by The Bristol Female Lower Urinary Tract Symptoms Questionnaire. Age, marital status, vaginal delivery number and educational status were used as comparison parameters. Chi-square test and Fisher's exact test were used for statistical analysis while p＜0.05 was considered significance. Results: The overall prevalence of urinary incontinence was 36.43% and 39.97% in women older than 40 years old. Irritative symptoms including frequency, urgency and nocturia had strong correlation in 4 parameters Regarding voiding symptoms and quality of life, vaginal delivery number and educational status factors revealed correlation results in all the question domains. Regarding pelvic symptoms, low back pain and pain during intercourse revealed highly correlated results in all 4 parameters. Conclusion: The prevalence of urine incontinence was 36.43% in the eastern area of Taipei metropolitan, which is similar to that in western countries.

並列關鍵字

urinary incontinence ； quality of life ； prevalence