中国循证医学杂志

中国循证医学杂志

中国成年女性尿失禁患病率的 meta 分析

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目的系统评价中国成年女性尿失禁的患病率,为尿失禁的防治决策提供依据。 方法计算机检索 CNKI、VIP、WanFang Data、CBM、PubMed、EMbase、The Cochrane Library,检索时限均从建库到 2018 年 6 月,搜集有关中国成年女性尿失禁患病情况的横断面研究。由 2 位研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用 Stata 12.0 软件进行 meta 分析。 结果共纳入 20 个研究,包括 90 126 例患者。meta 分析结果显示,成年女性尿失禁患病率为 31.1%[95%CI(28.3%,34.0%)],且患病率随年龄增长而增加。亚组分析显示,压力性尿失禁是尿失禁的主要表现亚型,以轻度尿失禁为主,城市平均患病率为 27.5%[95%CI(22.6%,32.4%)],农村为 32.5%[95%CI(23.3%,41.7%)],南方平均患病率为 30.9%[95%CI(26.8%,35.1%)],北方为 31.4%[95%CI(26.0%,36.7%)];尿失禁患病率在 2005~2008 年开始升高,其后几年一直处于较高水平。 结论我国成年女性尿失禁的患病率高达 31.1%,从 2005 年以来一直处于较高水平,过去 10 余年无明显改善。成年女性尿失禁的患病率随年龄增长而增高,逐渐成为困扰女性和老年人群的健康负担。为关爱女性健康,提高女性生活质量,应重视尿失禁的发病原因并采取适当干预措施预防和治疗成年女性尿失禁。

ObjectivesTo provide reference for decision-making on prevention and treatment of urinary incontinence by assessing the prevalence of urinary incontinence in Chinese adult women. MethodsWe searched CNKI, VIP, WanFang Data, CBM, PubMed, EMbase, The Cochrane Library to collect cross-sectional studies on urinary incontinence in adult women in mainland China from inception to June 2018. Two reviewers independently screened literature, extracted data, and evaluated the risk of bias of the included studies. Meta-analysis was performed using Stata 12.0 software. ResultsA total of 20 studies were involved, including 90 126 patients. Meta-analysis showed that the prevalence of urinary incontinence in adult women was 31.1% (95%CI: 28.3% to 34.0%). The subgroup analysis showed that stress urinary incontinence was the main subtype, of which was mainly with mild incontinence, with an average prevalence rate of 27.5% (95%CI: 22.6% to 32.4%) in urban areas and 32.5% (95%CI: 23.3% to 41.7%) in rural areas; 30.9% (95%CI: 26.8% to 35.1%) in the south and 31.4% (95%CI: 26.0% to 36.7%) in the north. The prevalence rate was rising from 2005 to 2008, and it remained at a high level in the following years, and the prevalence increased with age. ConclusionsThe prevalence of urinary incontinence in adult women in China has been at a high level since 2005. There has been no significant improvement in the past 10 years. Therefore, we should attach great importance to it and take appropriate interventions to prevent the occurrence of urinary incontinence.

关键词: 尿失禁; 成年女性; 发病率; Meta 分析; 横断面研究; 健康公平性; 特殊人群

Key words: Urinary incontinence; Adult women; Prevalence; Meta-analysis; Cross-sectional study; Health equity; Special population

引用本文: 余昆, 谢珍国, 余志海, 刘胜, 刘美平. 中国成年女性尿失禁患病率的 meta 分析. 中国循证医学杂志, 2019, 19(1): 36-43. doi: 10.7507/1672-2531.201806057 复制

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