同性失禁:一项多中心研究评估了患病率和相关性
Ruth Athey1, Thomas Gray2, Victoria Kershaw3
1Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. ruth.athey@nhs.net.
International urogynecology journal
|September 5, 2024
概括
阴道失禁 (CI) 影响了42%的尿失禁妇女,与过度活动的膀 (OAB) 和压力尿失禁 (SUI) 有显著的联系. 这些发现表明CI,OAB和SUI的共同原因,影响性健康.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 盆地底疾病 盆地底疾病
- 性健康 性的健康
背景情况:
- 阴道失禁 (CI) 是一种普遍影响妇女生活质量和性功能的疾病.
- 了解CI与其他下泌尿道症状之间的关系对于有效的治疗至关重要.
研究的目的:
- 调查膀过活 (OAB),压力尿失禁 (SUI) 和特定类型的CI,包括高潮和透失禁之间的关联.
- 量化尿失禁女性中CI的流行率.
主要方法:
- 一项多中心研究,涉及来自英国七家医院的泌尿科医生门诊患者.
- 通过电子个人评估问卷 - 骨盆地患者报告的结果测量 (2018年4月-2022年1月) 收集的数据.
- 使用斯皮尔曼等级关系来评估关联的统计分析.
主要成果:
- 在4843个有效答案中,41.6%的女性报告了CI.
- 绝大多数 (96.8%) 患有CI的女性有OAB和SUI混合.
- 在CI症状得分和SUI (R=0.57) 和OAB (R=0.40) 之间以及高潮和透失禁亚型之间发现了显著的相关性.
结论:
- 阴道 incontinence是常见的,影响了大量女性的尿失禁.
- 在SUI,OAB和CI之间存在显著的关联,这表明了共同的潜在机制.
- 研究的局限性包括缺少的数据和特定的患者群体,需要谨慎的解释.
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