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女人的尿失禁:一篇综述
Emily S Lukacz1, Yahir Santiago-Lastra2, Michael E Albo2
1Department of Reproductive Medicine, University of California-San Diego, La Jolla.
JAMA
|October 26, 2017
概括
尽管有很多有效的治疗方法, 但很少有人会寻求治疗. 早期发现和个性化治疗,包括改变生活方式和医学治疗,是改善结果的关键.
科学领域:
- 尿道病学
- 妇科医生
- 女性健康
背景情况:
- 尿失禁是女性常见的疾病,严重影响生活质量.
- 在一般女性群体中,患病率在10~20%左右,在养老院居民中为77%.
- 尽管患病率很高,但只有25%的妇女寻求或接受治疗.
研究的目的:
- 审查女性尿失禁的评估和治疗策略.
- 强调以患者为中心的护理在UI管理中的重要性.
- 突出各种类型的尿失禁的有效治疗方案.
主要方法:
- 这是对女性尿失禁目前的评估和治疗方案的综述.
- 初步评估涉及了解生活质量的影响,患者的目标,以前的治疗方法和同时存在的疾病.
- 在开始治疗之前,排除感染和血液流失至关重要.
主要成果:
- 保守的治疗包括骨盆肌肉炼和生活方式改变 (减肥,补水,排泄时间表).
- 可以在没有详细评估的情况下开始治疗急性尿失禁.
- 手术选择,如中尿道,成功率高 (48-90%),并发症率低 (<5%).
结论:
- 尿失禁在女性中很常见, 有很多有效的治疗方法,
- 临床医生应优先考虑UI检测和管理,解决可修改的因素.
- 患者的偏好应指导评估和治疗,持续或复杂的病例应及时转诊.
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