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首页> 外文期刊>Scandinavian journal of primary health care. >Are Cystometric and Cystoscopic Examinations of Any Value for Disabled Incontinent Elderly?
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Are Cystometric and Cystoscopic Examinations of Any Value for Disabled Incontinent Elderly?

机译：残疾失禁老年人的膀胱镜检查和膀胱镜检查是否有任何价值？

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摘要

According to assessments made by the personnel and patients' own reports 42 % of males and 54 % of females aged 65 years or over and attending the day hospital in the town of Tampere were found to be incontinent. Incontinence was related to the frequency of urinating in the daytime. All incontinent patients of the day hospital were referred to the urologist at the University Hospital. Only about one third of these patients participated in the cystometric and cystoscopic examinations. The main reasons for non-attendance were unwillingness of the patient, referral of the patient to another place of care and resistant urinary infection. Urinary retention and small bladder capacity were common findings by cystometry and cystoscopy. A surgical management was recommended to seven per cent and conservative management to 93 % of the patients. The concordance rates between the classification of the incontinence by anamnestic questions and the classification made by the urologist were not very high: the overall percentage of agreement was 40%. It is concluded, that not all incontinent elderly patients should be sent for cystometric and cystoscopic examination. Residual urine should be measured, if urinary retention is thought to be associated with incontinence. Furthermore, the classification of incontinence cannot be made only by using anamnestic questions.
机译：根据人员和患者自己的报告所作的评估，发现在坦佩雷镇上失禁的男性有42％，在65岁或以上的女性中占54％。尿失禁与白天排尿的频率有关。日间医院的所有失禁患者都转诊到大学医院的泌尿科。这些患者中只有约三分之一的人参加了膀胱镜检查和膀胱镜检查。不就诊的主要原因是患者不愿接受，将患者​​转介到另一个护理地点以及抵抗性尿路感染。膀胱测压和膀胱镜检查通常发现尿retention留和膀胱小容量。建议手术治疗占7％，保守治疗占93％。回忆性问题对尿失禁的分类与泌尿科医师的分类之间的符合率不是很高：同意的总百分比为40％。结论是，并非所有大小便失禁的老年患者都应接受膀胱测压和膀胱镜检查。如果尿retention留被认为与大小便失禁有关，则应测量残余尿量。此外，不能仅通过回忆性问题来对失禁进行分类。

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