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女性患者的膀胱过度活动症:雌激素的作用

Overactive bladder in the female patient: the role of estrogens.

作者信息

Robinson Dudley, Cardozo Linda

机构信息

King's College Hospital, 8 Devonshire Place, London W1G GHP, UK.

出版信息

Curr Urol Rep. 2002 Dec;3(6):452-7. doi: 10.1007/s11934-002-0096-2.

DOI:10.1007/s11934-002-0096-2
PMID:12425866
Abstract

The prevalence of urinary incontinence is known to increase with age, affecting 15% to 35% of community-dwelling women over 60 years of age. Other studies report a prevalence of 49% in women over 65 years of age. Epidemiologic studies have implicated estrogen deficiency in the etiology of lower urinary tract symptoms, although the role of estrogen replacement therapy remains controversial. This review presents recent evidence regarding the role of estrogen in lower urinary tract dysfunction, with a particular emphasis on the management of postmenopausal women with symptoms suggestive of overactive bladder.

摘要

已知尿失禁的患病率会随着年龄增长而增加,影响着60岁以上社区居住女性的15%至35%。其他研究报告称65岁以上女性的患病率为49%。流行病学研究表明雌激素缺乏与下尿路症状的病因有关,尽管雌激素替代疗法的作用仍存在争议。本综述介绍了关于雌激素在下尿路功能障碍中作用的最新证据,特别强调对有膀胱过度活动症症状的绝经后女性的管理。

相似文献

1
Overactive bladder in the female patient: the role of estrogens.女性患者的膀胱过度活动症:雌激素的作用
Curr Urol Rep. 2002 Dec;3(6):452-7. doi: 10.1007/s11934-002-0096-2.
2
Management of overactive bladder.膀胱过度活动症的管理
N Engl J Med. 2004 Feb 19;350(8):786-99. doi: 10.1056/NEJMra032662.
3
The role of estrogens in female lower urinary tract dysfunction.雌激素在女性下尿路功能障碍中的作用。
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Special considerations in premenopausal and postmenopausal women with symptoms of overactive bladder.有膀胱过度活动症症状的绝经前和绝经后女性的特殊注意事项。
Urology. 2002 Nov;60(5 Suppl 1):64-71; discussion 71. doi: 10.1016/s0090-4295(02)01799-5.
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[Conservative treatment of functional disorders of the lower urinary tract].
Gynakologe. 1983 Dec;16(4):206-13.
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Bladder dysfunction in Parkinsonism: mechanisms, prevalence, symptoms, and management.帕金森病中的膀胱功能障碍:机制、患病率、症状及管理
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Lower urinary tract disease: what are we trying to treat and in whom?下尿路疾病:我们试图治疗什么以及治疗哪些人?
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Oestrogens and overactive bladder.雌激素与膀胱过度活动症
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Acta Physiol (Oxf). 2013 Jan;207(1):34-9. doi: 10.1111/apha.12011. Epub 2012 Oct 30.
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The association of adiposity and overactive bladder appears to differ by gender: results from the Boston Area Community Health survey.肥胖与膀胱过度活动症之间的关联似乎因性别而异:来自波士顿地区社区健康调查的结果。
J Urol. 2011 Mar;185(3):955-63. doi: 10.1016/j.juro.2010.10.048. Epub 2011 Jan 19.
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Urodynamic effects of estradiol (E2) in ovariectomized (ovx) rats.

本文引用的文献

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Estrogen levels influence beta-3-adrenoceptor-mediated relaxation of the female rat detrusor muscle.
Urology. 2002 Apr;59(4):621-5. doi: 10.1016/s0090-4295(01)01583-7.
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