绝经后尿动力压力失禁是否会增加? :来自澳大利亚女性的2,994项尿动力学研究的结果
Nevine Te West1, Katie Harris2, Michael Chapman3
1St George Hospital, School of Women's and Children's Health, University of New South Wales, Sydney, Kogarah, Australia. n.tewest@unsw.edu.au.
International urogynecology journal
|July 23, 2024
概括
尿失禁 (UI) 根据更年期状态不同. 尿动力压力失禁 (USI) 在更年期前妇女中更为常见,而在更年期后,带有脱子过活性的USI (DO) 增加.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 老年医学 老年医学
- 妇女健康 妇女健康
背景情况:
- 尿失禁 (UI) 患病率研究通常依赖于问卷.
- 泌尿动力学测试提供了关于UI类型的客观数据.
- 更年期状态显著影响UI特征.
研究的目的:
- 用尿动力学数据确定绝经前和绝经后妇女UI类型的分布.
- 为了测试这种假设,尿动力压力失禁 (USI) 在绝经前妇女中更为普遍.
主要方法:
- 分析了2,994名女性 (2000-2015年) 的尿动力学测试结果.
- 将UI分为USI,detrusor过度活动 (DO) 和USI与DO的分类.
- 在更年期前和更年期后的群体之间比较UI类型的流行率.
主要成果:
- 绝经前妇女 (59.3%) 的USI比绝经后妇女 (41.8%) 更常见.
- 随着年龄的增长,detrusor过度活动 (DO) 的患病率增加.
- 在66岁后,与DO并发的USI成为占主导地位的UI类型.
结论:
- 尿动力压力失禁 (USI) 是绝经前妇女的主要UI类型.
- 经过更年期后,患有detrusor过活性的USI (DO) 患病率上升,在老年女性中占主导地位.
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