Combes T, Coulomb Y, Samson M, Beguin A M, Roman F
Service de Rééducation, Hôpital Corentin-Celton, Issy-les-Moulineaux.
J Urol (Paris). 1991;97(4-5):209-13.
The authors report about the merits of a clinical test for the evaluation of bladder and sphincter function in the analysis of urinary disorders in the aged. This simple and inexpensive bedside test has been carried out in 175 subjects whose mean age was 81.2 years, and the majority of whom (66.2%) presented with urinary incontinence; 80% of the patients came from longterm-care geriatric departments. The most frequent mechanism is bladder instability (41% of all patients). The cystomanometric data obtained in 80 subjects were analysed and retrospectively compared to the test data: they showed good correlation for the study of vesical stability. From the viewpoint of general health care, this test is a real diagnostic tool for the practitioners, in particular in geriatric departments without further specialised exploration commodities.
作者报告了一项用于评估老年人泌尿系统疾病中膀胱和括约肌功能的临床试验的优点。这项简单且成本低廉的床边试验已在175名平均年龄为81.2岁的受试者中进行,其中大多数人(66.2%)存在尿失禁;80%的患者来自老年长期护理科室。最常见的机制是膀胱不稳定(占所有患者的41%)。对80名受试者获得的膀胱测压数据进行了分析,并与试验数据进行回顾性比较:结果显示在膀胱稳定性研究方面具有良好的相关性。从总体医疗保健的角度来看,这项试验对于从业者,特别是在没有进一步专业检查设备的老年科室,是一种切实可用的诊断工具。