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首页> 外文期刊>American Journal of Obstetrics and Gynecology >Differences in continence system between community-dwelling black and white women with and without urinary incontinence in the EPI study.
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Differences in continence system between community-dwelling black and white women with and without urinary incontinence in the EPI study.

机译：在EPI研究中，有和没有尿失禁的社区居民黑人妇女和白人妇女的尿失禁系统差异。

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OBJECTIVE: We sought to compare continence system function of black and white women in a population-based sample. STUDY DESIGN: As part of a cross-sectional population-based study, black and white women ages 35-64 years were invited to have pelvic floor testing to achieve prespecified groups of women with and without urinary incontinence. We analyzed data collected from 335 women classified as continent (n = 137) and stress (n = 102) and urge (n = 96) incontinent based on full bladder stress test and symptoms. Continence system functions were compared across racial and continence groups. RESULTS: Comparing black to white women, maximal urethral closure pressure (MUCP) was 22% higher in blacks than whites (68.0 vs 55.8 cm H(2)O, P < .0001). White and black women with stress incontinence had MUCP 19% and 23% lower than continent women. MUCP in urge incontinent white women was as low as stress incontinent whites, but blacks with urge had normal urethral function. CONCLUSION: Black women have higher urethral closure pressures than white women. White women with urge incontinence, but not black women, have reduced MUCP.
机译：目的：我们试图比较以人群为基础的样本中黑人和白人女性的节制系统功能。研究设计：作为一项基于人群的横断面研究的一部分，年龄在35-64岁之间的黑人和白人女性被邀请进行骨盆底检查，以达到预先确定的有或没有尿失禁的女性人群。我们基于充分的膀胱压力测试和症状分析了从335名大陆（n = 137），压力（n = 102）和急迫（n = 96）大小便失禁的女性中收集的数据。跨种族和自控群体比较了自控系统的功能。结果：与黑人女性相比，黑人的最大尿道闭合压力（MUCP）比白人高22％（68.0对55.8 cm H（2）O，P <.0001）。患有压力性尿失禁的白人和黑人妇女的MUCP比大陆妇女低19％和23％。急迫性尿失禁的白人妇女的MUCP与压力性尿失禁的白人一样低，但是有急迫性的黑人的尿道功能正常。结论：黑人女性比白人女性具有更高的尿道闭合压力。有急迫性尿失禁的白人妇女而非黑人妇女的MUCP降低。

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