慢性咳の患者における尿失禁の流行:体系的なレビュー

Ludovica Scotti¹, Simone Salvitti²

¹Department of Medicine, University of Udine.

Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace

|February 13, 2026

まとめ

尿失禁 (UI) は,慢性咳の患者における一般的な合併症であり,成人の女性の最大74%に影響します. 早期のスクリーニングと治療は,高い罹患率と関連する汚名を理由に極めて重要です.

科学分野:

泌尿器科泌尿器科とは
肺病理学肺病理学とは
エピデミオロジーエピデミオロジー

背景:

慢性的な咳は繰り返し腹内圧力を加え,骨盤底機能不全と尿失禁 (UI) を引き起こす可能性があります.
既存の研究は,UIを様々な慢性咳に関連した疾患におけるより広範な結果として扱うのではなく,しばしばUIを特定の慢性咳状態と関連付けています.
健康な集団と比較して,慢性咳に関連した疾患を有する患者のUIの罹患率は,まだ十分に定量化されていません.

研究の目的:

慢性咳に関連した疾患と診断された患者の尿失禁 (UI) の有病率を体系的に決定する.
この患者群におけるUIの罹患率を,健康な集団で観察されたものと比較する.

主な方法:

主要な科学データベース (Medline,Embase,Cochrane,OVID,Scopus,ProQuest,PEDro,EBSCO) を利用した包括的なシステマティック・レビューが行われました.
2人の独立したレビュー者が,事前に定義された含有基準に基づいて研究をスクリーニングし,特に流行に関する研究に焦点を当てました.
データ抽出,合成,および品質評価は,証拠品質のGRADEアプローチと報告品質のSTROBEチェックリストを使用して行われました.

主要な成果:

UIの罹患率の推定では,人口集団間で有意な変動が示されました.
報告されたUIの罹患率は,小児患者の2.2%から45%,成人女性の30.4%から74%,成人男性の2.4%から39%であった.
証拠の全体的な質は低いと評価され,含まれている研究の報告の質は許容できると見なされた.

結論:

尿失禁 (UI) は,慢性咳に関連した疾患に関連した頻繁な合併症であり,一般の健康な人よりも高い罹患率を示しています.
泌尿器系の問題を取り巻く潜在的な汚名を考慮すると,医療従事者は,患者の履歴を記録する際にUIを積極的にスクリーニングする必要があります.
慢性咳による二次性UIを経験している個人に,適切な評価と治療のための迅速な紹介が推奨されます.

キーワード:

慢性的な咳咳咳骨盤底機能不全骨盤底機能不全骨盤底機能不全蔓延率蔓延率蔓延率尿失禁とは尿失禁です.

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