抗精神病治疗对年轻女性尿失禁的影响-类型,严重程度和生活质量
Liron Yosef1, Daniela Amital2, Ali Nassar3
1Obstetrics and Gynecology Department, Barzilai University Medical Center, Ashkelon, Israel.
概括
抗精神病药物增加了年轻妇女尿失禁的风险,特别是冲动和混合类型. 这种情况显著影响生活质量,但许多患者不寻求治疗.
科学领域:
- 药理学 药理学是指药理学的学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇女健康 妇女健康
背景情况:
- 尿失禁是影响妇女生活质量的普遍问题.
- 已知抗精神病药物会影响膀功能.
- 关于抗精神病药物引起的女性尿失禁的具体流行率,类型和生活质量影响的数据有限.
研究的目的:
- 评估抗精神病药物对女性尿失禁的患病率和类型的影响.
- 评估抗精神病药物诱导的尿失禁对妇女生活质量的影响.
- 提高患者意识,促进改善受影响患者的治疗和生活质量.
主要方法:
- 一项涉及100名服用抗精神病药物的女性和年龄相匹配的对照组的比较研究.
- 专注于20-40岁的精神稳定的女性.
- 使用医疗问卷和ICIQ-SF问卷来评估泌尿症状和生活质量.
主要成果:
- 服用抗精神病药物的女性中有29%出现尿失禁,对照组为13% (P < 0.005).
- 在治疗组中,冲动性,混合性和压力性尿失禁,夜尿和夜间尿尿症的发病率更高.
- 夜间尿液浸泡与克洛沙治疗有显著的联系 (P < 0.001) 并影响了生活质量,尽管只有三分之一的人寻求治疗.
结论:
- 大约三分之一的服用抗精神病药物的年轻女性患有尿失禁,冲动和混合类型是常见的.
- 抗精神病药物的使用与夜尿症和夜间尿泡症的增加有关,这显著影响了生活质量.
- 建议这些患者采取包括诊断和治疗在内的主动方法.
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