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预防医学  2023, Vol. 35 Issue (2): 130-133    DOI: 10.19485/j.cnki.issn2096-5087.2023.02.009
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女性糖尿病与压力性尿失禁研究进展
顾逸藜, 孙晓 综述, 谢臻蔚 审校
浙江大学医学院附属妇产科医院妇科,浙江 杭州 310006
Progress of researches on the association between diabetes and stress urinary incontinence among women
GU Yili, SUN Xiaoyan, XIE Zhenwei
Department of Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310006, China
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摘要 女性压力性尿失禁(SUI)是全球重要的公共卫生问题,不自主漏尿症状可严重影响患者生活质量。糖尿病引起的肌肉组织、结缔组织和神经组织的病理生理学改变与SUI的发生发展密切相关。本文对女性糖尿病与SUI发生发展的关联及相关病理生理学机制研究作一综述,以期为女性糖尿病患者预防SUI提供参考。
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关键词 压力性尿失禁糖尿病盆底支持组织    
Abstract:Female stress urinary incontinence (SUI) is a major global public health problem, and its involuntary urinary leakage may seriously affect patients' quality of life. The pathophysiological changes in muscle, connective and nerve tissues induced by diabetes have been found to be strongly correlated with the development and progression of SUI. This review summarizes the association between diabetes and SUI in women and the underlying pathophysiological mechanisms, so as to provide insights into prevention of SUI among female patients with diabetes.
Key wordsstress urinary incontinence    diabetes    pelvic support structure
收稿日期: 2022-11-02      修回日期: 2022-12-17      出版日期: 2023-02-10
中图分类号:  R587.1  
  R694.54  
基金资助:浙江省医药卫生科研面上项目(2021KY771)
通信作者: 谢臻蔚,E-mail:xiezw@zju.edu.cn   
作者简介: 顾逸藜,硕士研究生在读
引用本文:   
顾逸藜, 孙晓燕, 谢臻蔚. 女性糖尿病与压力性尿失禁研究进展[J]. 预防医学, 2023, 35(2): 130-133.
GU Yili, SUN Xiaoyan, XIE Zhenwei. Progress of researches on the association between diabetes and stress urinary incontinence among women. Preventive Medicine, 2023, 35(2): 130-133.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.02.009      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I2/130
[1] PANG H,LV J,XU T,et al.Incidence and risk factors of female urinary incontinence:a 4-year longitudinal study among 24 985 adult women in China[J].BJOG,2022,129(4):580-589.
[2] 卢永莉. 甘肃省成年女性尿失禁就医意向调查及生活质量评价[D].兰州:甘肃中医药大学,2022.
[3] 来光华,赫小龙,张骁,等. 杭州市成年女性尿失禁患病情况及对生活质量的影响[J]. 预防医学,2016,28(4):328-331.
[4] MILSOM I,COYNE K S,NICHOLSON S,et al.Global prevalence and economic burden of urgency urinary incontinence:a systematic review[J].Eur Urol,2014,65(1):79-95.
[5] LI Y,TENG D,SHI X,et al.Prevalence of diabetes recorded in mainland China using2018 diagnostic criteria from the American Diabetes Association:national cross sectional study[J/OL].BMJ,2020,369[2022-12-17].https://doi.org/10.1136/bmj.m997.
[6] WANG K,XU X,JIA G,et al.Risk factors for postpartum stress urinary incontinence:a systematic review and meta-analysis[J].Reprod Sci,2020,27(12):2129-2145.
[7] MARINI G,PASCON BARBOSA A M,DAMASCENO D C,et al.Morphological changes in the fast vs.slow fiber profiles of the urethras of diabetic pregnant rats[J/OL].Urogynaecologia,2011,25(1)[2022-12-17].https://doi.org/10.4081/uij.2011.e9.
[8] MARINI G,PICULO F,VESENTINI G,et al.The influence of hyperglycemia on the remodeling of urethral connective tissue in pregnant rats[J].Eur J Obstet Gynecol Reprod Biol,2018,221:81-88.
[9] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)[J].国际内分泌代谢杂志,2021,41(5):482-548.
[10] LOWENSTEIN E P,ANDERSEN L L,MOLLER L A,et al.Urodynamic and questionnaire findings in urinary incontinent women with and without diabetes.Data from a health study[J].Int Urogynecol J,2021,32(10):2847-2856.
[11] LENHERR S M,CLEMENS J Q,BRAFFETT B H,et al.Glycaemic control and risk of incident urinary incontinence in women with type 1 diabetes:results from the Diabetes Control and Complications Trial and Epidemiology of Diabetes Interventions and Complications(DCCT/EDIC)study[J].Diabet Med,2016,33(11):1528-1535.
[12] LIU N,XING L,MAO W,et al.Relationship between blood glucose and hemoglobin A1c levels and urinary incontinence in women[J].Int J Gen Med,2021,14:4105-4116.
[13] AOKI Y,BROWN H W,BRUBAKER L,et al.Urinary incontinence in women[J/OL].Nat Rev Dis Primers,2017,3[2022-12-17].https://doi.org/10.1038/nrdp.2017.42.
[14] WANG S,DONG S,LI W,et al.Physiology based stretchable electronics design method for accurate surface electromyography evaluation[J/OL].Adv Sci,2021,8(13)[2022-12-17].https://doi.org/10.1002/advs.202004987.
[15] AL-SOFIANI M E,GANJI S S,KALYANI R R.Body composition changes in diabetes and aging[J].J Diabetes Complications,2019,33(6):451-459.
[16] SARTORÃO FILHO C I,PINHEIRO F A,PRUDENCIO C B,et al.Impact of gestational diabetes on pelvic floor:a prospective cohort study with three-dimensional ultrasound during two-time points in pregnancy[J].Neurourol Urodyn,2020,39(8):2329-2337.
[17] PRUDENCIO C B,RUDGE M V C,PINHEIRO F A,et al.Negative impact of gestational diabetes mellitus on progress of pelvic floor muscle electromyography activity:cohort study[J/OL].PLoS One,2019,14(11)[2022-12-17].https://doi.org/10.1371/journal.pone.0223261.
[18] MICUSSI M T,FREITAS R P,ANGELO P H,et al.Evaluation of the relationship between the pelvic floor muscles and insulin resistance[J].Diabetes Metab Syndr Obes,2015,8:409-413.
[19] MONACO C M F,PERRY C G R,HAWKE T J.Diabetic myopathy:current molecular understanding of this novel neuromuscular disorder[J].Curr Opin Neurol,2017,30(5):545-552.
[20] SHEN Y,LI M,WANG K,et al.Diabetic muscular atrophy:molecular mechanisms and promising therapies[J].Front Endocrinol,2022,13[2022-12-17].https://doi.org/10.3389/fendo.2022.917113.
[21] VESENTINI G,BARBOSA A M P,DAMASCENO D C,et al.Alterations in the structural characteristics of rectus abdominis muscles caused by diabetes and pregnancy:a comparative study of the rat model and women[J].PLoS One,2020,15(4)[2022-12-17].https://doi.org/10.1371/journal.pone.0231096.
[22] VESENTINI G,BARBOSA A M P,FLORIANO J F,et al.Deleterious effects of gestational diabetes mellitus on the characteristics of the rectus abdominis muscle associated with pregnancy-specific urinary incontinence[J/OL].Diabetes Res Clin Pract,2020,166 [2022-12-17].https://doi.org/10.1016/j.diabres.2020.108315.
[23] VESENTINI G,MARINI G,PICULO F,et al.Morphological changes in rat rectus abdominis muscle induced by diabetes and pregnancy[J/OL].Braz J Med Biol Res,2018,51(4)[2022-12-17].https://doi.org/10.1590/1414-431X20177035.
[24] 董臣令. 骨骼肌收缩的多尺度研究[D].杭州:浙江大学,2017.
[25] MARINI G,PICULO F,VESENTINI G,et al.Effects of short-term severe and long-term mild STZ-induced diabetes in urethral tissue of female rats[J].Neurourol Urodyn,2017,36(3):574-579.
[26] 陈春经,林焕明.IGF-1、mtDNA及胶原蛋白Ⅰ、Ⅲ水平在盆底器官脱垂患者组织表达研究[J].中外医学研究,2020,18(9):172-174.
[27] YANG S J,WANG J,XU J,et al.miR-93 mediated collagen expression in stress urinary incontinence via calpain-2[J].Mol Med Rep,2018,17(1):624-629.
[28] TANG M,ZHONG M,SHANG Y,et al.Differential regulation of collagen types Ⅰ and Ⅲ expression in cardiac fibroblasts by AGEs through TRB3/MAPK signaling pathway[J].Cell Mol Life Sci,2008,65(18):2924-2932.
[29] ANDRIOTIS O G,ELSAYAD K,SMART D E,et al.Hydration and nanomechanical changes in collagen fibrils bearing advanced glycation end-products[J].Biomed Opt Express,2019,10(4):1841-1855.
[30] BAKRE S,HOLT S K,OERLINE M,et al.Longitudinal patterns of urinary incontinence and associated predictors in women with type 1 diabetes[J].Neurourol Urodyn,2022,41(1):323-331.
[31] HOTALING J M,SARMA A V,PATEL D P,et al.Cardiovascular autonomic neuropathy,sexual dysfunction,and urinary incontinence in women with type 1 diabetes[J].Diabetes Care,2016,39(9):1587-1593.
[32] SAKAKIBARA R,TAKAHASHI O,NISHIMURA H,et al.The relationship between bladder,periarterial and somatic neuropathy in diabetes[J].Intern Med,2018,57(15):2165-2168.
[33] NASIRY D,KHALATBARY A R,AHMADVAND H,et al.Protective effects of methanolic extract of Juglans regia L.leaf on streptozotocin-induced diabetic peripheral neuropathy in rats[J/OL].BMC Complement Altern Med,2017,17(1)[2022-12-17].https://doi.org/10.1186/s12906-017-1983-x.
[34] TANG H Y,JIANG A J,MA J L,et al.Understanding the signaling pathways related to the mechanism and treatment of Diabetic Peripheral Neuropathy[J].Endocrinology,2019,160(9):2119-2127.
[35] KOBAYASHI M,ZOCHODNE D W.Diabetic neuropathy and the sensory neuron:new aspects of pathogenesis and their treatment implications[J].J Diabetes Investig,2018,9(6):1239-1254.
[36] RAJARAMAN B,RAMADAS N,KRISHNASAMY S,et al.Hyperglycaemia cause vascular inflammation through advanced glycation end products/early growth response-1 axis in gestational diabetes mellitus[J].Mol Cell Biochem,2019,456(1/2):179-190.
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