目的：探讨女性压力性尿失禁发生与多种危险因素的关系。
方法：采用整群抽样的方法，对634名不同年龄和不同职业的女性进行问卷调查。将219名压力性尿失禁发生的女性和415名正常对照女性的人口学特征、妊娠、分娩损伤、泌尿生殖系统疾病以及某些慢性病等因素资料进行多因素非条件logistic回归分析。
结果：多因素非条件logistic回归分析发现，独立危险因素包括：第一胎体重、急产史、需使用雌激素治疗、饮酒、泌尿生殖系统感染史和子宫脱垂与女性压力性尿失禁的发生呈正相关，且均具有统计学意义。
结论：第一胎体重过大、有急产史、雌激素缺乏、饮酒、有泌尿系统感染史和存在子宫脱垂可能为广州地区女性压力性尿失禁发生的危险因素。
【关键词】 尿失禁 压力性 危险因素 非条件logistic回归分析
Abstract Objective ： To estimate relationship between female stress urinary incontinence (SUI) and the risk factors for SUI in Guangzhou.
Methods： Data were obtained by questionnaire survey from 634 women recruited by cluster sampling. A Logistic retrospective analysis on multiple risk factors were made by comparing among the feature of anthropology, pregnancy, birth injury, diseases of urogenitalis system, and some chronic diseases in SUI grup(n=219) and control grup(n=415)..
Results： The logistic analysis results of unconditioned multipel risk facters show that there are all the positive relationship and statistically significant between the SUI and the weight of the first baby, emergency deliver, the lack of estrogen, smoking, urogenitalis system infection, prolapse of uterus.
Conclution： The body weight of the first baby, emergency deliver, the lack of estrogen, smoking, urogenitalis system infection, prolapse of uterus were the risk facters of SUI in guangzhou wemen.
【Key words】 Stress urinary incontinence,; logistic analysis ; risk facter
压力性尿失禁多发生于40岁以上妇女，年轻女性也可发生，鉴于其对患者的躯体健康、心理健康及社会交往等方面可造成严重影响，国际控尿协会认为该病已成为国际性疾病，并构成了一定的社会和卫生问题。对压力性尿失禁开展流行特征、患病因素的研究是制定防治策略的基础。本研究旨在了解广州市区女性压力性尿失禁患病现况，探索该病的危险因素，了解人群对该病的态度与认知，做好相关诊疗和生殖健康指导。
