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糖尿病中的膀胱功能障碍。

Bladder dysfunction in diabetes mellitus.

机构信息

Department of Pharmacology and Therapeutics, Faculty of Medicine, University of British Columbia Vancouver, BC, Canada.

出版信息

Front Pharmacol. 2010 Nov 16;1:136. doi: 10.3389/fphar.2010.00136. eCollection 2010.

DOI:10.3389/fphar.2010.00136
PMID:21833175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3153010/
Abstract

Diabetic cystopathy is a well-recognized complication of diabetes mellitus, which usually develops in middle-aged or elderly patients with long-standing and poorly controlled disease. It may have broad spectrum clinical presentations. Patients may be asymptomatic, or have a wide variety of voiding complaints from overactive bladder and urge incontinence to decreased bladder sensation and overflow incontinence. This review focuses on pathophysiological mechanisms responsible for urologic complications of diabetes and emphasizing on recent developments in our understanding of this condition. We also tried to shed some light on therapeutic modalities like behavioral, pharmacological, and surgical approaches.

摘要

糖尿病性膀胱病是糖尿病的一种公认并发症,通常发生于中年或老年患者,且具有长期未得到控制的病史。它可能具有广泛的临床表现。患者可能无症状,也可能有各种各样的排尿问题,从膀胱过度活动和急迫性尿失禁到膀胱感觉减退和充盈性尿失禁。本文重点讨论了导致糖尿病泌尿系统并发症的病理生理机制,并强调了我们对该病认识的最新进展。我们还尝试探讨了治疗方法,如行为、药物和手术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cfb/3153010/d09b7508e2e3/fphar-01-00136-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cfb/3153010/d09b7508e2e3/fphar-01-00136-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cfb/3153010/d09b7508e2e3/fphar-01-00136-g001.jpg

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Fesoterodine for the treatment of urinary incontinence and overactive bladder.非索罗定治疗尿失禁和膀胱过度活动症。
Ther Clin Risk Manag. 2009;5:869-76. doi: 10.2147/tcrm.s6483. Epub 2009 Nov 18.
2
Fesoterodine for the treatment of overactive bladder.非索罗定治疗膀胱过度活动症。
Ann Pharmacother. 2009 Dec;43(12):1992-2000. doi: 10.1345/aph.1M308. Epub 2009 Nov 17.
3
Urinary urgency outcomes after propiverine treatment for an overactive bladder: the 'Propiverine study on overactive bladder including urgency data'.
Obes Surg. 2025 May 7. doi: 10.1007/s11695-025-07899-1.
4
Impact of Sodium-Glucose Co-Transporter-2 (SGLT2) Inhibitors on Nocturnal Polyuria: A Cross-Sectional Study.钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂对夜间多尿的影响:一项横断面研究。
Cureus. 2025 Mar 8;17(3):e80263. doi: 10.7759/cureus.80263. eCollection 2025 Mar.
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Imbalance of bladder neurohomeostasis by Myosin 5a aggravates diabetic cystopathy.肌球蛋白5a导致的膀胱神经稳态失衡会加重糖尿病膀胱病。
Mol Med. 2025 Mar 10;31(1):91. doi: 10.1186/s10020-025-01140-6.
6
Effect of moderate-intensity aerobic exercise on bladder and type I collagen expressions in diabetic rat model.中等强度有氧运动对糖尿病大鼠模型膀胱及Ⅰ型胶原蛋白表达的影响。
Narra J. 2024 Dec;4(3):e1110. doi: 10.52225/narra.v4i3.1110. Epub 2024 Nov 9.
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A Brief Overview of Cholinergic and Phosphodiesterase-5 Inhibitors in Diabetic Bladder Dysfunction.胆碱能和磷酸二酯酶-5 抑制剂治疗糖尿病膀胱功能障碍简述。
Int J Mol Sci. 2024 Oct 4;25(19):10704. doi: 10.3390/ijms251910704.
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Overcoming challenges in the management of recurrent urinary tract infections.克服复发性尿路感染管理中的挑战。
Expert Rev Anti Infect Ther. 2024 Dec;22(12):1157-1169. doi: 10.1080/14787210.2024.2412628. Epub 2024 Oct 10.
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Health Sci Rep. 2024 Sep 18;7(9):e70072. doi: 10.1002/hsr2.70072. eCollection 2024 Sep.
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Arab J Urol. 2023 Jun 10;22(1):39-47. doi: 10.1080/2090598X.2023.2221403. eCollection 2024.
普芦卡必利治疗膀胱过度活动症后尿意急迫的结局:“包括急迫性数据的普芦卡必利治疗膀胱过度活动症研究”。
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