Efficacy of bladder training in older women with urinary incontinence.
Efficacy of bladder training in older women with urinary incontinence.
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膀胱训练对患有尿失禁的老年女性的功效。
DOI：
10.1001/jama.1991.03460050063021
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发表时间：
1991
期刊：
影响因子：
--
通讯作者：
E. Hadley
中科院分区：
文献类型：
--
作者：
J. Fantl;J. Wyman;D. McClish;S. Harkins;R. K. Elswick;John R. Taylor;E. Hadley
在一项随机临床试验中，对123名55岁及以上患有尿失禁的非住院妇女进行了膀胱训练的疗效评估。尿流动力学分为逼尿肌不稳定伴或不伴括约肌功能不全组(N=35)和尿路括约肌功能不全组(N=88)。膀胱训练减少了57%的大小便失禁发作；两个尿动力学诊断组的效果相似。失水量减少54%。有逼尿肌不稳定的患者比没有逼尿肌不稳定的患者更严重。白天和夜间自主排尿也减少了。然而，在逼尿肌功能不稳定的受试者中，并没有观察到对夜间排尿的影响。建议将膀胱训练作为治疗女性尿失禁的第一步。只要事先做了全面的临床评估，就可以在不需要尿流动力学特征的情况下开出处方。
The efficacy of bladder training was evaluated in a randomized clinical trial involving 123 noninstitutionalized women 55 years and older with urinary incontinence. Subjects were urodynamically categorized as those with urethral sphincteric incompetence (N = 88) and those with detrusor instability with or without concomitant sphincteric incompetence (N = 35). Bladder training reduced the number of incontinent episodes by 57%; the effect was similar for both urodynamic diagnostic groups. The quantity of fluid loss was reduced by 54%. This was greater for patients with detrusor instability than for those without it. Diurnal and nocturnal voluntary micturitions were also reduced. The effect on nocturnal micturition, however, was not observed in subjects with unstable detrusor function. It is recommended that bladder training be considered as an initial step in treatment of women with urinary incontinence. Provided prior comprehensive clinical evaluation is done, it can be prescribed without the need for urodynamic characterization.
DOI：
10.1016/s0022-5347(17)45194-9
发表时间：
1986-11
期刊：
The Journal of urology
影响因子：
--
作者：
A. Diokno;A. Diokno;B. M. Brock;B. M. Brock;Morton B. Brown;Morton B. Brown;A. Herzog;A. Herzog
通讯作者：
A. Diokno;A. Diokno;B. M. Brock;B. M. Brock;Morton B. Brown;Morton B. Brown;A. Herzog;A. Herzog