尿失禁,骨关节炎和肌肉骨系统疾病之间的关系
Nursanem Celik1, Suleyman Celik2, Zuleyha Seyhan2
1School of Medicine, Istanbul Medipol University, 34083 Istanbul, Türkiye.
Journal of clinical medicine
|April 27, 2024
概括
尿失禁与骨关节炎和背部肌肉骨疾病有关,特别是在那些有运动问题和疼痛的人中. 这些情况显著增加男性和女性的失禁风险.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 整形外科 整形外科 整形外科
背景情况:
- 尿失禁 (UI) 对生活质量产生负面影响,严重程度往往由运动障碍加剧.
- 骨关节炎 (OA) 和背部肌肉骨疾病是可能影响UI的普遍情况.
- 了解这些疾病之间的相互作用对于全面的患者护理至关重要.
研究的目的:
- 研究尿失禁,关节炎和背部肌肉骨系统疾病之间的关联.
- 探索疼痛,运动障碍和日常生活活动 (ADL) 困难在这种关系中的作用.
- 在肌肉骨疾病患者中确定尿失禁的危险因素.
主要方法:
- 一项采用2008年土耳其健康研究调查 (n = 13,976) 的数据进行的横截面研究.
- 评估自我报告的尿失禁,日常活动限制,运动障碍,疼痛程度,关节炎和肌肉骨疾病.
- 针对性别的逻辑回归模型被用来分析关联,控制相关的慢性疾病.
主要成果:
- 在患有骨关节炎和背部肌肉骨问题的人群中,尿失禁的患病率更高.
- 在患有骨关节炎的人群中,移动障碍组的UI患病率为25.84%,而非移动障碍组的UI患病率为10.03%.
- 更高的疼痛严重程度和日常生活活动 (ADL) 的困难与UI频率的增加显著相关,骨关节炎的调整后几率比为女性1.58和男性2.38.
结论:
- 尿失禁在女性中更为普遍,随着年龄的增长而增加,并与骨关节炎和背部肌肉骨疾病有关.
- 运动障碍和ADL困难显著提高了OA和背部肌肉骨疾病患者的UI患病率.
- 增加的疼痛严重程度与更高的尿失禁频率直接相关.
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