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是否detrusor过度活跃与detrusor低活跃性仅限于老年人?
Jaraspong Vuthiwong1,2, Liang G Qu2,3, Stewart Whalen2
1Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Neurourology and urodynamics
|April 25, 2024
概括
脱子过活与脱子低活 (DO-DU) 影响年轻人和老年人. 年长的男性经历了更多的紧迫性和冲动性尿失禁,而年轻的女性报告在排尿时感到紧张.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年病的医生 老年病的医生
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 脱子过活与脱子低活 (DO-DU) 通常与脆弱的老年患者有关.
- 然而,DO-DU在年轻人群中越来越多地被观察到,需要进行比较分析.
研究的目的:
- 研究被诊断患有DO-DU的年轻人和老年患者之间的人口,临床和尿动力学差异.
- 确定与DO-DU相关的特定年龄表现和风险因素.
主要方法:
- 一个单一中心 (2012-2023) 的210名DO-DU患者的回顾性分析.
- 患者被分为"年轻" (<70岁) 和"老年" (≥70岁) 组.
- 人口统计,风险因素,临床表现和泌尿动力学发现被按性别比较.
主要成果:
- 多发性硬化症在年轻患者中更为普遍,而糖尿病在老年男性中更为普遍.
- 年长的男性报告了更高的急迫性和冲动性失禁率;年轻的女性报告了在排泄过程中更大的压力.
- 年轻的男性显示出更大的膀容量和更高的空气后残留体积,年轻女性的空气效率较低.
结论:
- DO-DU不仅仅发生在老年人身上,还可能发生在具有危险因素的年轻人身上.
- 临床医生应在所有年龄段的风险患者中对DO-DU保持高度怀疑.
- 临床表现不同,年长的男性经历了更多的紧迫性/紧迫性失禁,年轻的女性经历了更多的紧张.
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