Tobin G W, Brocklehurst J C
Age Ageing. 1986 Sep;15(5):292-8. doi: 10.1093/ageing/15.5.292.
Urinary incontinence occurring at least once weekly was found in 32% of residents in 30 Local Authority Residential Homes for the Elderly. Incontinence was significantly commoner among female residents. One hundred and seventy-four incontinent residents were randomly selected in order to assess the effect of medical intervention (study group). A further 104 incontinent residents were selected to act as controls (control group). The vast majority of the study group showed evidence of chronic brain failure and 40% had impaired mobility. Almost half had been incontinent since admission. Urodynamic studies were required for management in only two (1.1%). Most (93%) were managed in accordance with a clinical diagnosis of an unstable bladder. There was a reduction in daytime incontinence in 40% of the study group, but this was matched by a reduction in 29% of the control group and the difference was not significant. The reduction in nocturnal incontinence in 41% of the treatment group was significantly different from 23% of the control group (P = 0.016).
在30所地方政府开办的养老院中，32%的居民每周至少出现一次尿失禁。女性居民中尿失禁的情况明显更为常见。随机挑选了174名尿失禁居民以评估医学干预的效果（研究组）。另外挑选了104名尿失禁居民作为对照（对照组）。研究组中的绝大多数人有慢性脑功能衰竭的迹象，40%的人行动不便。近一半的人自入院以来一直失禁。仅2人（1.1%）的管理需要进行尿动力学研究。大多数人（93%）是根据不稳定膀胱的临床诊断进行管理的。研究组中40%的人白天尿失禁情况有所减少，但对照组中有29%的人也有类似减少，差异不显著。治疗组中41%的人夜间尿失禁情况的减少与对照组中23%的人有显著差异（P = 0.016）。
