膀胱过动症的非手术治疗

S. Jakus-Waldman
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引用次数: 0

摘要

在美国,多达三分之一的老年人和17%的成年女性患有膀胱过度活动。诊断是基于患者报告的尿急和尿频症状,排除任何其他可能的病理后伴有或不伴有尿失禁。治疗方案基于分阶段的方法,从生活方式和行为改变开始。膀胱训练和盆底肌肉训练已被证明与抗毒蕈碱药物一样有效,当这些疗法与药物联合使用时可能最有效。一种新的OAB药物,β3-肾上腺素激动剂,与抗uscarinics相比,副作用更小,是有痴呆风险的老年患者的重要选择。关键词:抗胆碱能药物,抗毒蕈素,β-肾上腺素能激动剂,夜尿症,膀胱过动症,急迫性尿失禁,尿频,尿急
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nonsurgical Management of Overactive Bladder
Overactive bladder affects up to one-third of elderly adults and 17% of adult women in the United States. The diagnosis is based on patient-reported symptoms of urinary urgency and frequency, with or without urinary incontinence after exclusion of any other possible pathology. Treatment options are based on a staged approach beginning with lifestyle and behavioral modifications. Bladder training and pelvic floor muscle training have been shown to be as effective as antimuscarinic medication and possibly most useful when these therapies are combined with medication. A newer class of OAB medication, β3-adrenergic agonists, has fewer side effects compared to antimuscarinics and is an important alternative for elderly patients at a risk of dementia. This review contains 5 figures and 63 references Key Words: anticholinergic medication, antimuscarinics, β-adrenergic agonists, nocturia, overactive bladder, urge incontinence, urinary frequency, urinary urgency
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