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【medical-news】盆底疾病发生率高 尿失禁困扰女性
March 3, 2008 — Women often don't tell their doctors about incontinence, overactive bladder, and pelvic organ prolapse, but those problems are common, a new study shows.
The study urges women not to accept those problems as a normal part of aging.
"Rather, they should focus on modifiable risk factors such as weight loss and maintenance, and seek treatment for all conditions when they occur," the researchers write in the March edition of Obstetrics & Gynecology.
The study included 4,103 women aged 25 to 84 (average age: 56) who got their health care through Kaiser Permanente Southern California.
The women completed surveys about the following pelvic floor disorders:
• Stress urinary incontinence: urine leakage when there is an increase in abdominal pressure, such as while exercising, laughing, sneezing, or coughing.
• Overactive bladder: an urgent need to urinate.
• Pelvic organ prolapse: the descent or drooping of the bladder, uterus, vagina, small bowel, or rectum.
• Anal incontinence: defined in the study as leaking gas, as well as solid or liquid stool.
The survey's results:
• 15% reported stress urinary incontinence
• 13% reported overactive bladder
• 6% reported pelvic organ prolapse
• 25% reported anal incontinence
Many women had more than one pelvic floor disorder.
"Roughly 80% of women with stress urinary incontinence or overactive bladder, 69% with pelvic organ prolapse, and 48% with anal incontinence reported at least one other [pelvic floor] disorder," write the researchers, who included Jean Lawrence, ScD, MPH, of Kaiser Permanente Southern California.
Pelvic floor disorders were more common among older women. But age wasn't as important as other factors, such as the number of babies the women had had by vaginal birth, menopause, hysterectomy, smoking, and obesity.
It's not clear if the results apply to all women. Those with pelvic floor disorders may have been more likely than women without those problems to complete the survey.
http://www.medscape.com/viewarticle/570933 Study: Female Incontinence Is Common
女性失禁很常见
March 3, 2008 — Women often don't tell their doctors about incontinence, overactive bladder, and pelvic organ prolapse, but those problems are common, a new study shows.
08.3.3－一项新研究表明，女性一般不跟医生反应失禁、膀胱过动症和骨盆器官下垂的问题，但是这些问题却是非常常见的。
The study urges women not to accept those problems as a normal part of aging.
该项研究告诫女性，不要把以上列出的问题作为年纪增长的正常问题。
"Rather, they should focus on modifiable risk factors such as weight loss and maintenance, and seek treatment for all conditions when they occur," the researchers write in the March edition of Obstetrics & Gynecology.
妇产科医学三月版的研究者说：“应该把重点放在产生上述症状可逆性的危险因素上，例如，减肥或者保持体重，而不是研究当症状发生时如何治疗。”
The study included 4,103 women aged 25 to 84 (average age: 56) who got their health care through Kaiser Permanente Southern California.
该项研究包括了25-84岁年龄段（平均年龄56岁）的4103名女性， 这些女性均是南加利福尼亚长期医疗保障计划的参与者。
The women completed surveys about the following pelvic floor disorders:
这些妇女均完成如下骨底紊乱调查：
• Stress urinary incontinence: urine leakage when there is an increase in abdominal pressure, such as while exercising, laughing, sneezing, or coughing.
•压力性尿失禁：当腹压增加时，尿失禁，例如运动、大笑、打喷嚏、咳嗽
• Overactive bladder: an urgent need to urinate.
•膀胱过动症：尿急
• Pelvic organ prolapse: the descent or drooping of the bladder, uterus, vagina, small bowel, or rectum.
•骨盆器官下垂：膀胱、子宫、阴道、小肠、直肠下垂。
• Anal incontinence: defined in the study as leaking gas, as well as solid or liquid stool.
•肛门失禁：排气异常、便失禁
The survey's results:
调查结果
• 15% reported stress urinary incontinence 15％压力性尿失禁
• 13% reported overactive bladder 13％膀胱过动症
• 6% reported pelvic organ prolapse 6％骨盆器官下垂
• 25% reported anal incontinence 25％肛门失禁 Many women had more than one pelvic floor disorder.
很多女性不止一项盆底病变。
"Roughly 80% of women with stress urinary incontinence or overactive bladder, 69% with pelvic organ prolapse, and 48% with anal incontinence reported at least one other [pelvic floor] disorder," write the researchers, who included Jean Lawrence, ScD, MPH, of Kaiser Permanente Southern California.
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作者:admin@医学,生命科学 2011-04-15 17:14
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