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全科医疗中泌尿系统疾病的流行病学

Epidemiology of urinary tract diseases in general practice.

作者信息

Steensberg J, Bartels E D, Bay-Nielsen H, Fanoe E, Hede T

出版信息

Br Med J. 1969 Nov 15;4(5680):390-4. doi: 10.1136/bmj.4.5680.390.

DOI:10.1136/bmj.4.5680.390
PMID:4187693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1629787/
Abstract

During a one-year morbidity survey of urinary tract diseases in general practice 741 cases were diagnosed. Only about half of all the patients with symptoms of urinary tract infection had significant bacteriuria. In young women urinary tract infections and symptoms from the urinary tract without bacteriuria-in particular urethritis-were found to predominate. In middle-aged women, the urinary tract symptoms were ascribed increasingly to genital prolapse, while incidence of urolithiasis was the highest in any group, and urinary tract infections became less frequent. The prevalence of urinary tract infection showed another increase in elderly women, and recurrent/chronic pyelonephritis, which occurs with a steadily increasing prevalence throughout all age groups, became common.In younger male urological patients diseases with symptoms of urinary tract infection without bacteriuria were predominant, whereas prostatitis and urinary tract infections were less frequent. In middle-aged men, urolithiasis was especially frequent, while an increasing proportion of elderly men had prostatic hypertrophy, urinary tract infections, and recurrent/chronic pyelonephritis.

摘要

在一项针对普通门诊泌尿系统疾病的为期一年的发病率调查中,共诊断出741例病例。在所有有泌尿系统感染症状的患者中,只有约一半有显著菌尿。在年轻女性中,泌尿系统感染以及无细菌尿的泌尿系统症状——尤其是尿道炎——占主导地位。在中年女性中,泌尿系统症状越来越多地归因于生殖器脱垂,而尿石症的发病率在所有群体中最高,泌尿系统感染则变得不那么频繁。老年女性中泌尿系统感染的患病率再次上升,复发性/慢性肾盂肾炎在所有年龄组中患病率稳步上升,变得很常见。在较年轻的男性泌尿系统疾病患者中,无细菌尿的泌尿系统感染症状的疾病占主导地位,而前列腺炎和泌尿系统感染则较少见。在中年男性中,尿石症尤为常见,而老年男性中前列腺肥大、泌尿系统感染和复发性/慢性肾盂肾炎的比例越来越高。

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Epidemiology of urinary tract diseases in general practice.全科医疗中泌尿系统疾病的流行病学
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引用本文的文献

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Investigating Causal Links Between Uterine Prolapse, Urinary Tract Infections, and Lower Urinary Tract Symptoms: A Two-Sample Mendelian Randomization Study.探究子宫脱垂、尿路感染和下尿路症状之间的因果关系:一项两样本孟德尔随机化研究。
Int J Womens Health. 2025 Sep 8;17:2947-2957. doi: 10.2147/IJWH.S530763. eCollection 2025.
2
Culture and PCR based detection of bacteria causing urinary tract infection in urine specimen.基于培养和聚合酶链反应检测尿液标本中引起尿路感染的细菌。
Pak J Med Sci. 2020 Mar-Apr;36(3):391-395. doi: 10.12669/pjms.36.3.1577.
3
The Changing Incidence and Presentation of Urinary Stones Over 3 Decades.三十年来尿路结石的发病率和临床表现变化。
Mayo Clin Proc. 2018 Mar;93(3):291-299. doi: 10.1016/j.mayocp.2017.11.018. Epub 2018 Feb 14.
4
Dysuria in adolescents.青少年尿痛
West J Med. 2000 Mar;172(3):201-5. doi: 10.1136/ewjm.172.3.201.
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Guidelines for urinary tract infections. Rationale for a separate strata for patients with "low-count" bacteriuria.尿路感染指南。对“低菌尿计数”患者采用单独分层的理由。
Infection. 1994;22 Suppl 1:S38-40; discussion S41. doi: 10.1007/BF01716040.
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Seasonality of symptomatic bacterial urinary infections in women.女性有症状细菌性尿路感染的季节性
J Epidemiol Community Health. 1983 Dec;37(4):286-90. doi: 10.1136/jech.37.4.286.
7
Clinical significance of dysuria in women.女性排尿困难的临床意义。
Br Med J. 1970 Jun 27;2(5712):754-7. doi: 10.1136/bmj.2.5712.754.
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Dysuria in women.女性尿痛
Br Med J. 1970 Jun 27;2(5712):741-2.
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Urinary tract symptomatology in general practice.全科医疗中的泌尿系统症状学
J R Coll Gen Pract. 1973 Aug;23(133):548-55.
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The bacteriological examination of urine: a computer-aided study.尿液的细菌学检查:一项计算机辅助研究。
J Hyg (Lond). 1974 Apr;72(2):229-44. doi: 10.1017/s0022172400023433.

本文引用的文献

1
THE ROLE OF THE FEMALE URETHRA IN INFECTIONS OF THE URINARY TRACT.女性尿道在尿路感染中的作用
Br J Urol. 1965 Feb;37:25-33. doi: 10.1111/j.1464-410x.1965.tb09569.x.
2
PRESENTATION, DIAGNOSIS, AND TREATMENT OF URINARY-TRACT INFECTIONS IN GENERAL PRACTICE.一般实践中尿路感染的表现、诊断及治疗
Lancet. 1965 Mar 6;1(7384):514-6. doi: 10.1016/s0140-6736(65)92020-9.
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ACUTE INFECTIONS OF THE URINARY TRACT AND THE URETHRAL SYNDROME IN GENERAL PRACTICE.全科医疗中的急性尿路感染及尿道综合征
Br Med J. 1965 Mar 6;1(5435):622-6. doi: 10.1136/bmj.1.5435.622.
4
Acute urinary infections. Their course and outcome in general practice with special reference to chronic pyelonephritis.急性泌尿系统感染。其在全科医疗中的病程及转归,特别提及慢性肾盂肾炎。
Lancet. 1962 Jun 23;1(7243):1318-21. doi: 10.1016/s0140-6736(62)92421-2.
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Sterile-voided urine culture; an evaluation in 100 consecutive hospitalized women.
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Quantitative bacteriology of urinary infection.泌尿系统感染的定量细菌学
Br J Urol. 1966 Jun;38(3):294-301. doi: 10.1111/j.1464-410x.1966.tb09715.x.
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Renal and ureteral calculi in a Swedish district. I. An epidemiological investigation of 1429 roentgenologically verified cases.
Acta Chir Scand. 1965 Oct;130(4):344-53.
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A survey of the incidence of urolithiasis in Norway from 1853 to 1960.一项关于1853年至1960年挪威尿路结石发病率的调查。
J Oslo City Hosp. 1966 May-Jun;16(5):101-47.