de Fockert J A
Ziekenhuis St. Joannes de Deo te Haarlem.
Tijdschr Gerontol Geriatr. 1989 Jun;20(3):101-6.
The occurrence of urinary incontinence was traced of 1077 patients, admitted to the geriatric department from 1978 through 1986 and was observed in 444 patients (41.3%), in women a little more frequent than in men (respectively 43.5% and 35.2%). In cases of people being psychiatrically ill incontinence was more frequent than in somatic cases. The percentages are respectively 45.1% and 38.0%. Among patients with dementia those SDAT did not show a higher prevalence of urinary incontinence than those with other types of dementia. Treatment (bladder-training, in 50% of the patients combined with medication) proved to be successful in 54.4% of all patients, for the group of somatically ill patients not significantly better than for the psychiatric patients (respectively 58% and 50.1%). Patients with SDAT showed better results (50% versus 32.1%) than cases of other types of dementia. The results of treatment in patients in the amnestic stage were 2.5 times better (65.9%) than in patients with more advanced stages of senile dementia (25.9%).
对1978年至1986年期间入住老年科的1077例患者进行了尿失禁发生率的追踪调查，发现444例患者（41.3%）存在尿失禁，女性比男性略为常见（分别为43.5%和35.2%）。患有精神疾病的患者中尿失禁比躯体疾病患者更为常见，百分比分别为45.1%和38.0%。在痴呆患者中，患有老年性痴呆（SDAT）的患者尿失禁患病率并不高于其他类型痴呆患者。治疗（膀胱训练，50%的患者联合药物治疗）在所有患者中有54.4%取得成功，躯体疾病患者组的治疗效果并不比精神疾病患者组显著更好（分别为58%和50.1%）。患有SDAT的患者比其他类型痴呆患者的治疗效果更好（50%对32.1%）。遗忘期患者的治疗效果比老年痴呆更晚期患者（25.9%）好2.5倍（65.9%）。
