Wein A J, Rovner E S
Division of Urology, University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
Int J Fertil Womens Med. 1999 Mar-Apr;44(2):56-66.
The overactive bladder, with symptoms of frequency, urgency and urge incontinence, substantially affects the life styles of millions of people throughout the world. The symptoms are associated with significant social, psychological, occupational, domestic, physical, and sexual problems. Despite the considerable impact of the condition on quality of life, sufferers are often reluctant to discuss their problem with family members or health care professionals. This state of affairs is unfortunate, for much can be done to alleviate the symptoms of this distressing condition. It is therefore of utmost importance that medical education about symptoms of the overactive bladder and other related problems be improved, to help health care professionals identify and treat patients who will benefit from therapy. This article reviews current thinking regarding definition, epidemiology, quality of life effects, evaluation and management. Emphasis is placed on knowledge particularly useful in primary care, especially, noninvasive modalities of therapy.
膀胱过度活动症，伴有尿频、尿急和急迫性尿失禁症状，严重影响着全球数百万人的生活方式。这些症状与严重的社会、心理、职业、家庭、身体和性方面的问题相关。尽管该病症对生活质量有相当大的影响，但患者往往不愿与家人或医疗保健专业人员讨论他们的问题。这种情况很不幸，因为可以采取很多措施来缓解这种令人痛苦的病症的症状。因此，改善关于膀胱过度活动症症状及其他相关问题的医学教育至关重要，以帮助医疗保健专业人员识别并治疗能从治疗中受益的患者。本文综述了关于定义、流行病学、生活质量影响、评估和管理的当前观点。重点放在对初级保健特别有用的知识上，尤其是非侵入性治疗方式。
