感觉相关的排尿日记在社区女性膀胱过度活动症中的应用研究

目的 应用感觉相关的排尿日记评价40岁及以上的社区女性的膀胱过度活动症(OAB)发病情况.方法 620例女性(平均58岁)完成了3 d的感觉相关的排尿日记.膀胱感觉的定义:0级=膀胱没有感觉,1级=膀胱有涨满的感觉,但没有排尿的愿望,2级=有排尿愿望,3级=有强烈的排尿愿望,4级=有非常紧迫的排尿愿望,但没有急迫性尿失禁,5级=出现因尿急引起的漏尿.结果 96例(15.5%)有OAB症状,包括74例(11.9%)没有急迫性尿失禁(即干性OAB)和22例(3.5%)伴有急迫性尿失禁(即湿性OAB).在全部的11 418次排尿中,随着膀胱感觉等级的增加,排尿量显著增加.干性OAB受试者的24 h排尿量显著高于正常受试者.湿性OAB受试者的平均排尿量显著低于干性OAB受试者和正常受试者.无尿急感觉的正常组的膀胱感觉3级时平均排尿量显著高于其他各组.湿性OAB组的膀胱感觉4级和5级时排尿量显著低于正常组和干性OAB组.结论 感觉相关的排尿日记能有效地评价排尿感觉、尿失禁和排尿模式.正常组、干性OAB组和湿性OAB组中引起诸如尿急或尿频等症状的原因可能不同.

Utility of sensation related bladder diary to assess overactive bladder symptoms in community-dwelling women

Objective Bladder diaries including bladder perception grades were analyzed to assess overactive bladder(OAB)symptoms in community-dwelling women 40 years of age or older.Methods Six hundred twenty women(mean age 58 years)completed a 3-day bladder diary.The perception grades were defined as follows:0=no bladder sensation,1=sensation of bladder filling without desire to void,2=desire to void,3=strong desire to void,4=urgency without urge urinary incontinence(UUI),and 5=urgency with UUI.Results 96 women(15.5%)had OAB symptoms on medical interview,including 74(11.9%)without UUI(OAB-Dry)and 22(3.5%)with UUI(OAB-Wet).In the analysis of 11 418 voids,the voided volume was significantly increased with the grades of perception.The 24 h voided volume in the OAB-Dry group was much more than the Normal group.The average voided volume in the OAB-Wet group was significantly less than in the OAB-Dry and the Normal groups.The mean voided volume at grade 3 in the Normal without urgency group was much more than volumes in any other group.In the analysis of grades 4 and 5,voided volumes in the OAB-Wet group were significantly less than those in the Normal and/or OAB-Dry groups.Conclusions Bladder diary including a new bladder perception grade was useful in assessing urinary sensation or incontinence as well as voiding pattern.The causes of symptoms such as urgency or urinary frequency may be different between the Normal,OAB-Dry,and OAB-Wet groups.