压力性尿失禁及手术干预对生活质量的影响  

Stress Urinary Incontinence and Surgical Intervention Effects on Quality of Life

作　　者：刘胜兰[1] 杨翔[1] 李怀芳[1] 

机构地区：[1]同济大学附属同济医院妇产科,上海200065

出　　处：《医学与哲学（B）》2013年第8期19-21,共3页Medicine & Philosophy(B)

摘　　要：压力性尿失禁(stress urinary incontinence,SUI)对患者日常生活的影响常用3个指标:尿失禁严重程度、患者主观痛苦程度和健康相关生活质量(health related quality of life,HRQoL)。由于以上3个指标常常是患者主动就医的原因,故理解这3个指标的相关性非常重要。本文综述了近年来对SUI和上述指标研究的文献发现,HRQoL是患者就医的主要原因,手术对HRQoL改善显著,但HRQoL和患者症状严重程度不存在密切相关性。进一步的研究需要明确患者主观痛苦和生活质量(QoL)的密切关系。对衡量患者主观痛苦和QoL采用标准化的评价系统有利于跨研究的比较。Current research focuses on three variables in evaluating the impact of stress urinary incontinence （SUI） on aany living： severity of incontinence, distress or bother resulting from incontinence, and effect on health related quality of life （HRQoL）. Understanding the impact of these variables is important as they are the driving force behind women seeking surgical treatment. We reviewed recent literatures and found that HRQoL is the main reason women seek surgical treat- ment for incontinence and surgical treatment leads to a significant improvement in mean HRQoL scores. However, HRQoL was not closely correlated with severity of symptoms. Further research is needed to investigate the relationship between the distress or bother and HRQoL. Greater standardization in the reporting of results of distress or bother and HRQoL would allow for comparison across studies.

关 键 词：女性 压力性尿失禁 生活质量 手术 严重程度 

分 类 号：R694.54[医药卫生—泌尿科学]