関連する実験動画
Updated: Sep 9, 2025

08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
11.6K
尿路ステントの入居時間,患者の特徴,およびステントの痛みとの関連は,国際予備登録から
Connor M Forbes1, Ben H Chew1, K F Victor Wong1
1Department of Urology, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.
The Canadian journal of urology
|September 5, 2025
まとめ
尿路ステントの持続時間は,石治療後の痛みに有意な影響を及ぼさなかった. 性などの患者要因はより影響があり 男性は女性より痛みを少ないと報告した.
科学分野:
- 泌尿器科
- 痛みの管理
- 医療機器の研究
背景:
- 尿路石治療後の最適な尿路ステントの持続時間については,相反する証拠がある.
- 患者の快適さや緊急治療の必要性は,尿路ステントと関連している主な懸念事項です.
研究 の 目的:
- 尿路ステントの持続期間が患者による痛みの強度に与える影響を評価する.
- 性別を含む患者に関連した要因が痛みのスコアに及ぼす影響を調査する.
主な方法:
- 結石に対する尿路ステントを施した268人の患者の大規模な国際予備登録を分析した.
- 患者報告結果測定情報システム (PROMIS) の痛みスコアは,ステントの除去前に収集されました.
- 患者はステントの入居時間 (短期,中期,長期) により階層化され,疼痛スコアはグループ間および患者因子によって比較された.
主要な成果:
- 異なる尿路ステント入院時間グループでは,痛みのスコアで有意な差は認められませんでした.
- ステントの長さに対する患者の身長とステント・タイターの存在は,痛みのスコアに有意な影響を及ぼさなかった.
- 男性は女性と比較して痛みの強度が著しく低いと報告した (p = 0. 018).
結論:
- 尿路ステントの持続時間は,除去時の痛みの主要な要因ではないようです.
- 患者特有の要因,特に性別は,ステント内置時間よりも痛みの知覚に重要な役割を果たす可能性があります.
- 尿路ステント設置後の痛み管理戦略を最適化するために,患者因子に関するさらなる研究が必要である.
関連する概念動画
Urinary Tract Calculi V: Nursing Management
27
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
27
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
39
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
39
Acute Pyelonephritis II: Diagnostic Studies and Management
38
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
38
Imaging Studies I: Kidney, Ureter, and Bladder Studies
38
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
38
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
193
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
193
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
141
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
141

