Epidemiology of fecal incontinence
Epidemiology of fecal incontinence
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DOI：
10.1053/j.gastro.2003.10.010
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发表时间：
2004-01-01
期刊：
影响因子：
29.4
通讯作者：
Nelson, RL
中科院分区：
文献类型：
--
作者：
Nelson, RL
到目前为止，养老院居住是与大便失禁最显著的联系，患病率接近50%。在一项主要调查中，尿失禁是发生大便失禁的最大危险因素，而大便失禁是发生尿失禁的最大危险因素。行动不便、痴呆和使用身体约束也是重要的危险因素。与大便失禁相关的特定疾病包括糖尿病、多发性硬化症、帕金森病、中风和脊髓损伤。肛裂外侧内括约肌切开术、瘘管切开术和回肠袋重建术可导致大便失禁。出生时患有先天性异常的儿童，如肛门闭锁，通常会经历多年的肮脏。未来的研究，以确定大便和尿失禁的患病率和病因，将需要首先确定这些条件和消除转诊偏差。这两种疾病的流行病学调查应联合进行，因为这两种疾病通常是合并症。
Nursing home residence is by far the most prominent association with fecal incontinence, with a prevalence approaching 50%. In one major survey, urinary incontinence was the greatest risk factor for developing fecal incontinence, and fecal incontinence was the greatest risk factor for developing urinary incontinence. Immobility, dementia, and the use of physical restraints were also important risk factors. Specific diseases associated with fecal incontinence include diabetes, multiple sclerosis, Parkinson's disease, stroke, and spinal cord injury. The surgical procedures lateral internal sphincterotomy for anal fissure, fistulotomy, and ileal pouch reconstruction can result in fecal incontinence. Children who are born with congenital abnormalities, such as imperforate anus, often experience soiling for many years. Future studies to determine the prevalence and etiology of fecal and urinary incontinence will need to first define these conditions and eliminate referral bias. Epidemiologic investigations of both disorders should be performed jointly because the conditions are so often comorbid.