Nakauchi K
Department of Urology, Tokyo Metropolitan Geriatric Hospital.
Nihon Ronen Igakkai Zasshi. 1990 Mar;27(2):132-7. doi: 10.3143/geriatrics.27.132.
Following the recent increase in the aged population, an increase in the number of cases of urinary incontinence among aged people can be anticipated. Considering the relative decrease of care-givers such as cohabitating family and increase of the cost of incontinence care, a social and national economic problem might be arise in near future. Therefore rapid steps to cope with this situation are necessary. Urinary incontinence of the aged has been mainly considered to be the problem for management and have been avoided by medical professionals until recently. Urinary incontinence is not only a problem of only aging, but generally is caused by some disease, therefore medical care might cure the incontinence or make the management of it easier. However, considering the increase in the number of elderly aged urinary incontinence patients, the number of incontinence-care professionals is very small. Help from the general practitioners is indispensable. Therefore this speech was drafted with the wish that the audiences, manly medical and geriatric doctors who usually are in contact with aged patients, may understand and become familiar with urinary incontinence of the elderly. This paper covered the physiology of urination especially in relation to the nervous system, abnormal bladder and urethral function found in urodynamic tests of elderly apparently normal persons, pathophysiological mechanism of urinary incontinence of aged people, urinary incontinence evoked as a side effect of some drugs. In order to assess and manage elderly urinary incontinence better, we must be able to recognize often there are two or more simultaneous basic underlying causes and how combinations of these cause create multifactorial mixed types of urinary incontinence.(ABSTRACT TRUNCATED AT 250 WORDS)
随着近期老年人口的增加,可以预见老年人群中尿失禁病例数量也会上升。考虑到诸如共同居住的家庭成员等护理人员数量相对减少以及尿失禁护理成本的增加,在不久的将来可能会出现一个社会和国民经济问题。因此,必须迅速采取措施应对这种情况。直到最近,老年尿失禁主要被视为管理问题,一直被医学专业人员所回避。尿失禁不仅是衰老的问题,通常是由某些疾病引起的,因此医疗护理可能会治愈尿失禁或使其管理更容易。然而,考虑到老年尿失禁患者数量的增加,尿失禁护理专业人员的数量却非常少。全科医生的帮助不可或缺。因此,起草这篇演讲稿的目的是希望听众,主要是那些通常与老年患者接触的医学和老年医学医生,能够理解并熟悉老年尿失禁。本文涵盖了排尿的生理学,特别是与神经系统相关的内容,在看似正常的老年人尿动力学测试中发现的膀胱和尿道功能异常,老年人尿失禁的病理生理机制,以及作为某些药物副作用引起的尿失禁。为了更好地评估和管理老年尿失禁,我们必须能够认识到通常存在两个或更多同时存在的基本潜在原因,以及这些原因的组合如何导致多因素混合类型的尿失禁。(摘要截断于250字)