相关实验视频
Updated: Jul 12, 2025

03:26
Detrusor Underactivity Model in Rats by Conus Medullaris Transection
Published on: August 28, 2020
2.1K
在怀孕晚期到第一次阴道分娩后的1年内,膀过度活跃
Whitney K Hendrickson1, Amanda A Allshouse2, Ingrid E Nygaard1
1From the Divisions of Urogynecology.
Urogynecology (Philadelphia, Pa.)
|October 30, 2023
概括
过度活跃的膀 (OAB) 在阴道分娩后影响了近五分之一的女性. 产后因素,如高出生体重,与产后OAB有关,急性尿失禁在一年后恶化.
科学领域:
- 产科和妇科 产科和妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇女健康 妇女健康
背景情况:
- 过度活跃的膀 (OAB) 是一种常见的疾病,影响了许多女性.
- 在怀孕和产后期间了解OAB对于改善其病理生理学的知识至关重要.
研究的目的:
- 为了确定从怀孕的第三个三个月到产后一年的初生妇女的过活性膀 (OAB) 的患病率和严重程度.
- 为了确定在此期间与OAB相关的因素.
主要方法:
- 一项前性队列研究的二次分析,涉及579名初婚妇女.
- 在第三个三个月,产后8周和产后1年评估OAB,使用标准化定义和形和失禁问卷的流行病学.
- 使用后勤回归来评估与OAB的关联.
主要成果:
- 在第三季度,OAB的患病率为18%,在产后8周增加到23%,并在产后1年保持在19%.
- OAB的严重程度在第三季度是最高的,产后下降,但急性尿失禁 (UUI) 的严重程度在产后1年增加.
- 与产后OAB相关的因素包括年龄较大,尿路感染和高出生体重 (≥3,500 g).
结论:
- 过度活跃的膀在怀孕和产后期间影响了大约20%的初生妇女.
- 增加UUI的严重程度和高出生体重与产后OAB之间的联系表明,分娩过程对分娩过程有重大影响.
相关概念视频
The Micturition Reflex
678
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
678
Urinary Bladder
832
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
832
Urodynamic Studies: Uroflowmetry
52
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
52
Anatomy of the Genitourinary System II: Bladder and Urethra
125
The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
125
Nursing Assessment of the Genitourinary System I: Health History
26
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
26
Disorders of the Urinary System
328
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
328

