한국 농촌 지역 여성에 있어서 복압성요실금과 방광 자극 증상에 관한 역학 조사
Prevalence of Stress Urinary Incontinence and Bladder Irritative Symptoms in Women: a Community Based Survey
소속 상세정보
주명수/Myung Soo Choo
정태규/이재원/김홍식/정상욱/박종연/박태한/Tae Gyu Chung/Jae Won Lee/Hong Sik Kim/Sang Wook Chung/Jong Yeon Park/Tae Han Park
KMID : 0358319990400091200
Abstract
결론
본 연구에서는 우리나라 여성의 복압성요실금과 방광 자극 증상의 유병률을 추정하기 위
하여 전라북도 정읍 지역에서 설문조사를 시행하였다.
각 증상 중 야간뇨가 가장 흔한 증상이었으며, 빈뇨 및 급박뇨는 연령에 따른 증가 양상
을 나타내었다. 조사 대상의 20.4%에서 1주 2회 이상의 복압성요실금이 있었으며, 전국인구
에서의 표준화 유병률은 19.9%로 1995년을 기준으로 30세 이상의 여성 약 1100만 명중 220
만명 이 복압성 요실금을 갖고 있을 것으로 추정된다.
복압성요실금은 비만도와 높은 상관관계를 가지고 있었으나, 연령, 흡연 여부, 폐경 유무,
출산횟수, 경구피 임약제 복용 등파는 유의한 관계가 없었다 복압성요실금 발생의 위험인자
에 대하여는 추후의 연구가 필요할 것으로 생각된다.
Purpose : The interest has been growing in the investigation and management of
1nary tract symptoms, but their prevalence in the general population has so far been
based on the estimates made in selected groups of women in Korea. The object of this
study was to determine the prevalence of stress urinary incontinence and bladder
irritative symptoms of women in rural region in Korea through a community based
survey. Also, we investigated the relationship between age, parity, oral contraception,
smoking, menopause and obesity and the prevalence of stress urinary incontinence.
Materials and Methods : A questionnaire survey was performed in a sample of
randomly selected 1162 women aged 30 years and over, in 31 villages in the town of
Jeong-Eup, Korea. From February 4th to February 22nd, 1997, trained field workers
visited every home and interviewed every eligible individual with the questionnaires,
which Included data on stress urinary incontinence, bladder irritative symptoms, quality
of life, reproductive and menstrual history, and use of oral contraceptives. Among 1162
women, 857 responded to questionnaires, and 827 questionnaires were available for
analysis. The response rate was 73.5%. The prevalence of stress urinary incontinence
was defined as the proportion of the women in the population surveyed who experienced
stress urinary incontinence at least twice a week. We defined diurnal frequency as the
episodes of voiding again within 2 hours after initial voiding in the series of 5
consecutive voidings during one month period. The urgency was defined as she found it
difficult to hold urination, once or more in the series of 5 consecutive voidings and
nocturia twice or more per night.
Results : The prevalence of stress urinary incontinence was 20.4%. Only seven(4.1%)
women carried a sanitary towel or diaper as protection against urinary leakage. The
prevalence of stress incontinence among age groups revealed no significant difference.
Statistically significant correlation was noted between obesity and the prevalence of
stress incontinence. Diurnal frequency was recorded by 375 women(45.3%); 171(20.6%)
experienced this symptom more than three times. Urgency was reported by 268
women(32.4%) and 63(7.6%) were always troubled by this symptom. Nocturia 3 times or
more every night was recorded by 341 women(42.2%) and 83(10.0%) had nocturia 5
times or more. The severity of nocturia increased significantly with age.
Conclusions : The prevalence of stress urinary incontinence and irritative symptoms in
this study is similar to previous studies performed in other countries while the rate of
nocturia is much higher in this study. Although stress urinary incontinence and bladder
irritative symptoms are relatively common in this community, only few people are
seeking for care of these symptoms. Therefore, it is very important to educate the
public and promote awareness of this medical problem in this community.
키워드
Stress urinary incontinence; Lower urinary tract symptoms; Prevalence;
원문 및 링크아웃 정보
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