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下尿路症状的流行情况及其影响:埃及 epic 调查的结果。

Prevalence and impact of lower urinary tract symptoms: Results of the epic survey in Egypt.

机构信息

Ain Shams University, Cairo, Egypt.

Mansoura University, Mansoura, Egypt.

出版信息

Neurourol Urodyn. 2019 Feb;38(2):637-643. doi: 10.1002/nau.23875. Epub 2018 Dec 21.

DOI:10.1002/nau.23875
PMID:30575129
Abstract

AIMS

To estimate the prevalence of lower urinary tract symptoms (LUTS), including overactive bladder (OAB), and urinary incontinence (UI), in Egypt and the impact on patients' quality of life.

METHODS

A population-based, cross-sectional survey (EPIC) was conducted with a random sample of adults aged ≥18 years. Prevalence estimates were based on 2002 International Continence Society definitions.

RESULTS

A total of 3600 adult men and women participated in the survey; 86% of them experienced ≥1 LUTS: storage symptoms were more frequently reported (75%) than voiding (52%) or postmicturition (42%) symptoms. The most prevalent storage symptom was nocturia (defined as ≥1 time per night) in 70% of the population. UI was reported by 21% (mixed UI [MUI]: 9%; stress UI [SUI]: 4%; urgency UI [UUI]: 5%; other UI: 3%), and 30% met criteria for OAB. Despite the high prevalence of LUTS, few individuals with UUI, MUI, SUI, or OAB took prescription medicine (12%) or consulted a healthcare professional about their symptoms (23%).

CONCLUSION

High prevalence rates of LUTS and OAB were found in adult men and women in Egypt, although low healthcare utilization and low prescription medication use for symptoms were observed.

摘要

目的

评估埃及下尿路症状(LUTS),包括膀胱过度活动症(OAB)和尿失禁(UI)的流行情况,以及对患者生活质量的影响。

方法

采用基于人群的横断面调查(EPIC)方法,对年龄≥18 岁的成年人进行随机抽样。患病率估计基于 2002 年国际尿控协会的定义。

结果

共有 3600 名成年男女参与了这项调查;86%的人经历过≥1 种 LUTS:储存症状比排尿(52%)或排尿后(42%)症状更常见。最常见的储存症状是夜尿症(定义为每晚≥1 次),占总人口的 70%。21%的人报告有 UI,包括混合性 UI(MUI:9%;压力性 UI[SUI]:4%;急迫性 UI[UUI]:5%;其他 UI:3%),30%符合 OAB 标准。尽管 LUTS 患病率很高,但很少有 UUI、MUI、SUI 或 OAB 患者服用处方药(12%)或就症状咨询医疗保健专业人员(23%)。

结论

在埃及的成年男女中发现了高比率的 LUTS 和 OAB,尽管观察到对医疗保健的利用率低和对症状的处方药物使用率低。

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