女性压力性尿失禁生酮饮食治疗临床路径

Clinical pathway of ketogenic diet in the treatment of female patients with stress urinary incontinence

压力性尿失禁(SUI)限制了女性日常活动,严重影响女性生活质量,对患者造成巨大的心理负担。流行病学调查证实,向心性肥胖是SUI的高危因素。目前,一系列的研究数据表明,基础腹内压的增高是肥胖导致尿失禁的重要病理生理过程,对肥胖的有效管理将有利于控制基础腹内压,进而有利于尿失禁的治疗。减重是治疗肥胖女性SUI的一线治疗措施,生酮饮食是一种高脂肪、低碳水化合物与适量蛋白质的特殊饮食结构的饮食疗法,与传统的饮食结构相比,生酮饮食能快速降低体质量,是治疗肥胖女性SUI的新方法。

Stress urinary incontinence(SUI)can limit daily activities,seriously affect quality of life and cause great psychological burden in female patients.Epidemiological investigation confirmed that centripetal obesity was the high risk factor of SUI.At present,a series of research data has showed that the increase of basic intra-abdominal pressure was an important pathophysiological process of obesity leading to urinary incontinence.The effective management of obesity will help to control the basic intra-abdominal pressure,which is conducive to the treatment of urinary incontinence.Weight loss is the first-line treatment for obese women with SUI.Ketogenic diet is a special diet with high fat,low carbohydrate and moderate protein.Compared with the traditional diet,ketogenic diet can quickly reduce body weight,which is a new method for the treatment of obese women with SUI.