지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 232 - 237 (6page)
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초록· 키워드
오류제보하기
Purpose: Stress urinary incontinence (SUI) and urge urinary incontinence (UUI) have different mechanisms of action. We believe that alteration of autonomic nervous system (ANS) activity may contribute to UUI because the lower urinary tract is regulated through the sympathetic and parasympathetic nervous systems. Heart rate variability (HRV) allows measurement of autonomic nervous function, therefore we measured and compared HRV parameters in women with urinary incontinence.
Methods: From March 2008 to March 2010, we evaluated all patients who visited 2 university hospitals for treatment of urinary incontinence. Theywere performed 3-day voiding diary, urodynamic study, physical examination and routine laboratory examination. We excluded subjects who had diabetes, cardiovascular problems, or other condition that affect ANS. Patients with mixed urinary incontinence (MUI) were also excluded. Finally 47 women with SUI (group 1) and 29 women with UUI (group 2) were enrolled according to their symptoms and voiding diary. We compared their HRV parameters. And excluding 11 patients who had detrusor underactivity, we divided them again into group A, 53 women without detrusor overactivity (DO) and group B, 12 women with DO. We compared HRV parameters between DO and non-DO group.
Results: Older women had a higher incidence of UUI and DO. In HRV parameters, only the ratio of low frequency (LF) and high frequency (HF) was significantly higher in group 2 than group 1 (3.5±3.6 vs. 1.6±1.1, P<0.05). Also group A had higher mean LF/HF ratio than group B (4.3±3.8 vs. 1.9±1.9, P<0.05).
Conclusions: Increased LF/HF values indicate relative sympathetic hyperactivity over parasympathetic activity. Changes in ANS activity could indicate the presence of UUI and potentially DO.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Abrams P / 2003 / The standardisation of terminology in lower urinary tract function:report from the standardisation sub-committee of the International Continence Society / U
Adamiak A / 2002 / The efficacy and safety of the tension-free vaginal tape procedure do not depend on the method of analgesia / Eur Urol 42 : 29 ~ 33
Blanc F / 2001 / Activity of the autonomous nervous system measured based on the variability of heart rate in female urinary incontinence / Prog Urol 11 : 492 ~ 497
Chapple CR / 2005 / The role of urinary urgency and its measurement in the overactive bladder symptom syndrome: current concepts and future prospects / BJU Int 95 : 335 ~ 340
Choi JB / 2005 / Analysis of heart rate variability in female patients with overactive bladder / Urology 65 : 1109 ~ 1112
Adamiak A / 2002 / The efficacy and safety of the tension-free vaginal tape procedure do not depend on the method of analgesia / Eur Urol 42 : 29 ~ 33
Blanc F / 2001 / Activity of the autonomous nervous system measured based on the variability of heart rate in female urinary incontinence / Prog Urol 11 : 492 ~ 497
Chapple CR / 2005 / The role of urinary urgency and its measurement in the overactive bladder symptom syndrome: current concepts and future prospects / BJU Int 95 : 335 ~ 340
Choi JB / 2005 / Analysis of heart rate variability in female patients with overactive bladder / Urology 65 : 1109 ~ 1112
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