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老年妇女的脆弱性和骨盆器官脱落之间的关联:一项回顾性研究

Daisuke Obinata¹, Makoto Hara², Sho Hashimoto³

¹Department of Urology, Nihon University School of Medicine, Tokyo, Japan. obinata.daisuke@nihon-u.ac.jp.

International urogynecology journal

|August 26, 2024

概括

先进的骨盆器官脱落 (POP) 与老年妇女的虚弱和肉相关,影响生活质量和尿路症状. 治疗改善了这些结果,表明POP管理可以提高健康的预期寿命.

科学领域:

老年学是指老年学的学科.
泌尿和妇科泌尿和妇科
肌肉骨健康肌肉骨健康

背景情况:

骨盆器官脱落 (POP) 显著影响老年妇女的生活质量.
在老年人中,虚弱和肉是常见的,可能与POP有关.
了解这些关联对于改善治疗结果和延长健康预期寿命至关重要.

研究的目的:

评估老年妇女的骨盆器官脱落 (POP),虚弱和肉症之间的关系.
探索POP治疗如何提高健康的预期寿命.

主要方法:

对82名POP妇女前性收集的数据进行了回顾性分析.
轻度 (阶段0-II) 和高级 (阶段III-IV) POP组之间的比较.
评估包括POP量化,Kihon检查表,P-QOL,IPSS,OABSS,ICIQ-SF以及通过MRI/CT测量骨盆肌肉. 对雌激素和雄激素受体进行了免疫组合化学分析.

主要成果:

58.5%的参与者是虚弱或前虚弱; 26.8%的参与者有运动障碍.
先进的POP与较大的运动障碍,较差的生活质量 (P-QOL),更糟糕的尿道症状 (ICIQ-SF,OABSS) 和较小的阴肌肉直径有关.
在P-QOL,IPSS,OABSS和ICIQ-SF分数中注意到术后改善.
雌激素受体α (ERα) 表达与手术前的脆弱性相关.

结论:

先进的POP与脆弱性,肉症 (肌肉直径减少表明),生活质量差,尿道症状增加有关.
治疗POP可以显著改善生活质量和泌尿功能.
解决脆弱的POP问题,老年妇女可能有助于延长他们的健康预期寿命.

关键词:

年龄化衰老衰老老年人,年长的人.脆弱性脆弱性脆弱性骨盆器官的脱落是因为骨盆器官的脱落.萨尔科佩尼亚是什么意思萨尔科佩尼亚

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