Chutka D S, Fleming K C, Evans M P, Evans J M, Andrews K L
Section of Geriatrics, Mayo Clinic Rochester, Minnesota 55905, USA.
Mayo Clin Proc. 1996 Jan;71(1):93-101. doi: 10.4065/71.1.93.
To describe the causes, evaluation, and management of urinary incontinence in the elderly population.
We reviewed pertinent articles in the medical literature and summarized the types of incontinence and contributing factors.
Urinary incontinence is common in elderly patients and often has a major role in determining whether a person can remain independent in the community or requires nursing home placement. Urinary incontinence is not a single entity but rather several different conditions, each with specific symptoms, findings on examination, and recommended treatment. Thus, accurate classification is important for appropriate management. Because of the complexity of urinary incontinence, many physicians are uncomfortable with undertaking assessment and treatment. Hence, many patients are not asked about incontinence, and the condition remains untreated and often considered a natural consequence of the aging process. Urinary incontinence can be treated and either cured or alleviated with treatment.
Elderly patients should be asked about symptoms of urinary incontinence because appropriate assessment and treatment can usually provide relief.
描述老年人群尿失禁的病因、评估及管理。
我们回顾了医学文献中的相关文章，并总结了尿失禁的类型及相关因素。
尿失禁在老年患者中很常见，并且在决定一个人能否在社区保持独立生活或是否需要入住养老院方面常常起主要作用。尿失禁不是单一的疾病，而是几种不同的情况，每种情况都有特定的症状、检查结果及推荐的治疗方法。因此，准确分类对于恰当的管理很重要。由于尿失禁的复杂性，许多医生对进行评估和治疗感到不自在。因此，许多患者未被问及尿失禁情况，该疾病仍未得到治疗，并且常常被认为是衰老过程的自然结果。尿失禁是可以治疗的，通过治疗可以治愈或缓解。
应该询问老年患者尿失禁的症状，因为恰当的评估和治疗通常可以缓解症状。
