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绝经后希腊妇女下尿道症状:LADY研究
Irene Lambrinoudaki1, Nikoletta Mili2, Areti Augoulea2
1Second Department of Obstetrics and Gynecology, Medical School, National and Kapodistrian University of Athens, Aretaieio Hospital, Athens, Greece. ilambrinoudaki@med.uoa.gr.
International urogynecology journal
|January 27, 2024
概括
低尿路症状 (LUTS) 在绝经妇女中非常普遍,并且经常与 vulvovaginal 缩 (VVA) 共存. 这些情况显著影响生活质量,需要尽早进行医疗评估.
科学领域:
- 妇科 妇科医生 妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 绝经研究 绝经研究
背景情况:
- 更年期的生殖泌尿综合征 (GSM) 包括 vulvovaginal 缩 (VVA) 和下泌尿道症状 (LUTS).
- 共同的胚胎起源和雌激素受体的存在表明VVA和LUTS之间存在联系.
- 在更年期妇女中,VVA和LUTS都非常普遍.
研究的目的:
- 调查希腊近期和绝经后妇女中LUTS的患病率.
- 在这个人群中识别与LUTS相关的风险因素.
- 探索LUTS和VVA症状之间的关系.
主要方法:
- 一项涉及450名年龄在40-70岁的女性的横截面研究.
- 参与者完成了结构化面试和国际询失禁问卷女性下尿道症状 (ICIQ-FLUTS).
- 数据分析将人口因素和VVA症状与ICIQ-FLUTS分数相关联.
主要成果:
- 报告的尿急/尿频率 (51.6%) 和尿障 (43.6%) 的高流行率.
- 年龄,体重,BMI和怀孕史与LUTS严重程度的增加相关.
- 中度/严重的VVA症状与较高的ICIQ-FLUTS得分有显著的关联 (p < 0.001).
结论:
- 在更年期前和更年期后的女性中,LUTS非常常见.
- LUTS与VVA症状的存在密切相关.
- 迅速评估经历了这些症状的更年期妇女对于改善生活质量至关重要.
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