Molander U, Ekelund P, Mellström D, Milsom I, Norlén L, Fogelberg M
Department of Geriatrics, Vasa Hospital, Göteborg, Sweden.
Arch Gerontol Geriatr. 1989 Jul;9(1):77-85. doi: 10.1016/0167-4943(89)90027-7.
A random sample of 6,000 women from the birth cohorts 1900-1920 were invited to participate in an investigation of urinary incontinence by completing and returning an enclosed questionnaire. Of the 4,206 women who returned the completed questionnaire, 677 (16.9%) complained of urinary incontinence and accepted an invitation to be examined and treated at our clinic. The first 150 consecutive patients recruited via this questionnaire who attended the clinic underwent a detailed neurological examination. The prevalence of neurological signs amongst this group of women was low, only 2% were considered to have a focal encephalopathy, 1% had an organic brain syndrome, 2% had a myelopathy and a further 1% were considered to have a polyneuropathy. There was no significant difference in the prevalence of neurological signs between the group of women with urinary incontinence and an age-matched control group from the total population. Thus, urinary incontinence in an unselected population of elderly women appears to be mainly dependent on other aetiological factors rather than neurological dysfunction.
从1900年至1920年出生队列中随机抽取6000名女性，邀请她们通过填写并返还随附问卷参与一项尿失禁调查。在返还完整问卷的4206名女性中，677名（16.9%）主诉有尿失禁，并接受邀请到我们诊所接受检查和治疗。通过这份问卷招募到诊所就诊的前150名连续患者接受了详细的神经学检查。这群女性中神经学体征的患病率较低，仅2%被认为患有局灶性脑病，1%患有器质性脑综合征，2%患有脊髓病，另有1%被认为患有多发性神经病。尿失禁女性组与来自总体人群的年龄匹配对照组之间神经学体征的患病率没有显著差异。因此，在未经过挑选的老年女性人群中，尿失禁似乎主要取决于其他病因，而非神经功能障碍。
