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国际尿失禁咨询问卷简表(ICIQ-SF)评分与尿动力学检查结果之间的相关性。

Correlations between the ICIQ-SF score and urodynamic findings.

作者信息

Seckiner Ilker, Yesilli Cetin, Mungan N Aydin, Aykanat Adem, Akduman Bulent

机构信息

Department of Urology, Gaziantep University, Gaziantep, Turkey.

Departments of Urology, Zonguldak Karaelmas University, Zonguldak, Turkey.

出版信息

Neurourol Urodyn. 2007;26(4):492-494. doi: 10.1002/nau.20389.

Abstract

AIMS

The primary aim of this prospective study was to examine the correlations between "The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF)" score and urodynamic findings in patients with urge incontinence. In addition, we aimed to observe the alterations of these parameters with antimuscarinic therapy.

METHODS

Between January and December 2005, patients referred to our department with urge incontinence were examined. After taking a detailed clinical history, physical examination, and urinalysis, each patient was asked to complete an ICIQ-SF questionnaire. We carried out subtracted cystometry according to a fixed protocol on all patients. Patients who were defined as detrusor overactivity incontinent were given antimuscarinic therapy for 3 months. Following treatment, filling cystometry and ICIQ-SF scoring were repeated in all patients. All pre- and post-treatment data of 18 male and 42 female patients were transferred to the SPSS 11.0 for Windows program, and statistical analyses were performed.

RESULTS

The patients' ages ranged from 28 to 70 (mean 49.8) years. We found statistically significant differences between the pre- and post-treatment parameters (mean ICIQ-SF score, first sensation, cystometric capacity, maximum detrusor pressure, compliance; P<0.01). We found negative correlation between pre-treatment mean ICIQ-SF score and first sensation (correlation coefficient -0.266, P<0.05) and positive correlation between pre-treatment mean ICIQ-SF score and maximum detrusor pressure (correlation coefficient 0.4, P<0.01).

CONCLUSIONS

ICIQ-SF scoring is a practical and reliable method for baseline and post-treatment evaluation of patients with urge incontinence. Significant correlation exists between ICIQ-SF score and urodynamic parameters.

摘要

目的

本前瞻性研究的主要目的是探讨急迫性尿失禁患者的“国际尿失禁咨询问卷简表(ICIQ-SF)”评分与尿动力学检查结果之间的相关性。此外,我们旨在观察抗毒蕈碱治疗对这些参数的影响。

方法

2005年1月至12月期间,对转诊至我科的急迫性尿失禁患者进行了检查。在详细询问临床病史、进行体格检查和尿液分析后,要求每位患者完成一份ICIQ-SF问卷。我们按照固定方案对所有患者进行了减法膀胱测压。被定义为逼尿肌过度活动型尿失禁的患者接受了3个月的抗毒蕈碱治疗。治疗后,对所有患者重复进行充盈期膀胱测压和ICIQ-SF评分。将18例男性和42例女性患者的所有治疗前和治疗后数据输入SPSS 11.0 for Windows程序进行统计分析。

结果

患者年龄在28至70岁之间(平均49.8岁)。我们发现治疗前和治疗后参数之间存在统计学显著差异(平均ICIQ-SF评分、首次感觉、膀胱测压容量、最大逼尿肌压力、顺应性;P<0.01)。我们发现治疗前平均ICIQ-SF评分与首次感觉之间呈负相关(相关系数-0.266,P<0.05),治疗前平均ICIQ-SF评分与最大逼尿肌压力之间呈正相关(相关系数0.4,P<0.01)。

结论

ICIQ-SF评分是一种用于急迫性尿失禁患者基线和治疗后评估的实用且可靠的方法。ICIQ-SF评分与尿动力学参数之间存在显著相关性。

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