实用老年医学

实用老年医学 ›› 2025, Vol. 39 ›› Issue (7): 703-707.doi: 10.3969/j.issn.1003-9198.2025.07.011

• 临床研究 • 上一篇    下一篇

老年女性压力性尿失禁与肌少症的相关性研究

康圣琴, 王雪菲, 邓舜芝, 欧阳晓俊, 巫海娣, 沈晓星, 刘小芹, 莫永珍   

  1. 211166 江苏省南京市,南京医科大学护理学院(康圣琴);
    210024 江苏省南京市,南京医科大学附属老年医院康复医学科(王雪菲);老年科(欧阳晓俊、沈晓星);糖尿病中心(巫海娣);心血管内科(刘小芹);老年综合评估研究室(莫永珍);
    215006 江苏省苏州市,苏州大学医学部护理学院(邓舜芝)
  • 收稿日期:2024-11-01 出版日期:2025-07-20 发布日期:2025-07-22
  • 通讯作者: 莫永珍,Email:yongzhenmo@vip.sina.com
  • 基金资助:
    江苏省卫生健康委科研项目(M2020056);南京医科大学科技发展基金项目(NMUB20230126)

Correlation between stress urinary incontinence and sarcopenia in elderly women

KANG Shengqin, WANG Xuefei, DENG Shunzhi, OUYANG Xiaaojun, WU Haidi, SHEN Xiaoxing, LIU Xiaoqin, MO Yongzhen   

  1. School of Nursing, Nanjing Medical University, Nanjing 211166, China (KANG Shengqin);
    Department of Rehabilitation Medicine (WANG Xuefei); Departemnt of Geriatrics (OUYANG Xiaojun, SHEN Xiaoxing); Diabetes Center (WU Haidi); Deparment of Cardiology (LIU Xiaoqin); Department of Comprehensive Geriatrics Assessment(MO Yongzhen), the Affiliated Geriatric Hospital of Nanjing Medical University, Nanjing 210024, China;
    School of Nursing, Medical College of Soochow University, Suzhou 215006, China (DENG Shunzhi)
  • Received:2024-11-01 Online:2025-07-20 Published:2025-07-22
  • Contact: MO Yongzhen, Email: yongzhenmo@vip.sina.com

PDF (PC)

16

摘要： 目的 探究老年女性压力性尿失禁(SUI)与肌少症的相关性。 方法 收集2023年9月至2024年8月就诊于南京医科大学附属老年医院的268例老年女性资料,其中SUI病人176例(SUI组),非尿失禁病人92例(非尿失禁组)。比较2组肌少症相关指标、社会人口学资料、老年综合评估相关资料以及实验室检查指标,采用倾向性评分匹配法(PSM)控制混杂因素,采用二元logistic回归分析老年女性SUI的影响因素。 结果 PSM后,2组间合并肌少症比例差异有统计学意义(P＜0.05)。二元logistic 回归分析结果显示,肌少症是女性SUI的独立危险因素。 结论 老年女性SUI与肌少症密切相关,临床上应重视对肌少症的筛查与干预,以降低SUI的发生风险,改善老年女性的生活质量。

关键词: 老年人, 女性, 压力性尿失禁, 肌少症, 倾向性评分匹配

Abstract: Objective To investigate the relationship between stress urinary incontinence (SUI) and sarcopenia in the elderly women. Methods A total of 268 elderly women at the Affiliated Geriatric Hospital of Nanjing Medical University from September 2023 to August 2024 were collected, including 176 patients presenting with SUI (SUI group) and 92 without urinary incontinence (non-urinary incontinerce group). The sarcopenia-related parameters, sociodemographic characteristics, comprehensive geriatric assessment data, and laboratory biomarkers were recorded and compared between the two groups. Propensity score matching (PSM) was employed to control the potential confounding factors, and binary logistic regression analysis was performed to identify the influencing factors for SUI in the elderly women. Results After PSM, the difference in the prevalence of sarcopenia between the two groups was statistically significant (P<0.05). Binary logistic regression analysis indicated that sarcopenia was an independent risk factor for SUI in the elderly women. Conclusions SUI is closely associated with sarcopenia in the elderly women. Screening sarcopenia is important to reduce the risk of SUI and improve the quality of life in the elderly women.

Key words: aged, female, stress urinary incontinence, sarcopenia, propensity score matching

中图分类号: