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老年人群中的尿失禁

Urinary incontinence in the elderly population.

作者信息

Loh K Y, Sivalingam N

机构信息

Deptartment of Family Medicine, International Medical University Malaysia, IMU Clinical School, Jalan Rasah, Seremban 70300, Negeri Sembilan.

出版信息

Med J Malaysia. 2006 Oct;61(4):506-10; quiz 511.

Abstract

Urinary incontinence is an important and common health care problem affecting the elderly population. Common types of incontinence affecting the elderly are: stress incontinence, urge incontinence, overflow incontinence and mixed type. The elderly patient suffering from urinary incontinence does not often seek treatment voluntary due to a misconception that it is part of a normal ageing process. Without treatment, urinary incontinence may lead to serious psychological and social complications such as depression, anxiety, embarrassment, low self-esteem and social isolation. Overall it is associated with significant poor quality of life for the elderly. Life style modification and behavioural therapy with or without pharmacotherapy help in improving the symptoms. Pelvic floor muscles' training is beneficial for stress incontinence in up to fifty percent of the patients. Elderly patients with urinary incontinence should be encouraged to seek treatment early, as the problem can be treated and they will have a better quality of life.

摘要

尿失禁是一个影响老年人群的重要且常见的医疗保健问题。影响老年人的常见尿失禁类型有:压力性尿失禁、急迫性尿失禁、充溢性尿失禁和混合型尿失禁。患有尿失禁的老年患者由于误认为这是正常衰老过程的一部分,所以并不经常主动寻求治疗。未经治疗,尿失禁可能会导致严重的心理和社会并发症,如抑郁、焦虑、尴尬、自卑和社会隔离。总体而言,这与老年人显著的生活质量低下相关。生活方式的改变以及有或没有药物治疗的行为疗法有助于改善症状。盆底肌肉训练对高达50%的压力性尿失禁患者有益。应鼓励患有尿失禁的老年患者尽早寻求治疗,因为这个问题是可以治疗的,而且他们会有更好的生活质量。

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