中年女性尿失禁的发病率与缓解情况
Incidence and remission of urinary incontinence in middle-aged women.
作者信息
Townsend Mary K, Danforth Kim N, Lifford Karen L, Rosner Bernard, Curhan Gary C, Resnick Neil M, Grodstein Francine
机构信息
Channing Laboratory, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA.
出版信息
Am J Obstet Gynecol. 2007 Aug;197(2):167.e1-5. doi: 10.1016/j.ajog.2007.03.041.
OBJECTIVE
The objective of the study was to describe changes in urinary incontinence in middle-aged women.
STUDY DESIGN
A prospective analysis of 64,650 women aged 36-55 years in the Nurses' Health Study II. Participants reported urine leaking in 2001 and 2003. Two-year incidence and remission proportions were estimated.
RESULTS
The 2-year incidence of incontinence was 13.7%. Incidence generally increased through age 50 years and then declined slightly in older women. Among women with incident incontinence at least weekly, the incidence of stress incontinence increased through age 50 years (2-year incidence 1.7%), and the incidence of urge incontinence was stable across age groups (2-year incidence 0.4%). Also, a minority (38%) mentioned leaking to their physician. Complete remission of symptoms occurred in 13.9% of women with incontinence at baseline.
CONCLUSION
We found that incontinence occurs frequently in middle-aged women. Yet few women mentioned incontinence to their physicians; thus, it may be important to initiate conversations about urinary symptoms even among younger patients.
目的
本研究的目的是描述中年女性尿失禁情况的变化。
研究设计
对护士健康研究II中64650名年龄在36 - 55岁的女性进行前瞻性分析。参与者在2001年和2003年报告了尿液泄漏情况。估计了两年的发病率和缓解率。
结果
尿失禁的两年发病率为13.7%。发病率一般在50岁之前上升，之后在老年女性中略有下降。在至少每周发生一次尿失禁的女性中，压力性尿失禁的发病率在50岁之前上升（两年发病率为1.7%），急迫性尿失禁的发病率在各年龄组中保持稳定（两年发病率为0.4%）。此外，少数（38%）女性向医生提及过漏尿情况。基线时有尿失禁的女性中，13.9%的症状完全缓解。
结论
我们发现尿失禁在中年女性中很常见。然而很少有女性向医生提及尿失禁情况；因此，即使在较年轻的患者中开启关于泌尿系统症状的对话可能也很重要。
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