Tariq Syed H, Wilson Margaret-Mary
Division of Geriatric Medicine, Saint Louis University School of Medicine, USA.
Mo Med. 2007 Sep-Oct;104(5):440-5.
Co-existing incontinence (urinary and fecal incontinence), often referred to as double incontinence, is a poorly defined syndrome in older adults. Nevertheless, urinary and fecal incontinence are common problems in the elderly population, particularly affecting individuals in the community and nursing homes. In addition to the inconvenience of the incontinence for the patient and caregiver, it is a marker of poorer health and associated with increased mortality. All patients with fecal and/ or urinary incontinence warrant a focused medical evaluation including comprehensive history and genital examination. Fecal impaction must be excluded by rectal exam and x-ray film of the abdomen. Cognitively impaired patients benefit most from habit training. Several surgical procedures are available and may be helpful in selected older persons with incontinence.
并存的失禁（尿失禁和大便失禁），常被称为双重失禁，在老年人中是一种定义不明确的综合征。然而，尿失禁和大便失禁在老年人群中是常见问题，尤其影响社区和养老院中的个体。除了给患者和照料者带来不便外，它还是健康状况较差的一个标志，且与死亡率增加相关。所有有大便失禁和/或尿失禁的患者都需要进行重点医学评估，包括全面的病史和生殖器检查。必须通过直肠检查和腹部X光片排除粪便嵌塞。认知受损的患者从习惯训练中获益最大。有几种外科手术可供选择，可能对某些患有失禁的老年人有帮助。
