预测试验成功的预测因素,没有导管的试验,对于有尿路保留的男性
Masato Takanashi1, Hiroki Ito1,2, Takeshi Fukazawa2
1Department of Urology, Yokosuka Kyosai Hospital, Yokosuka, Japan.
Lower urinary tract symptoms
|June 6, 2023
概括
这项研究发现,药物状况会影响在男性急性尿路滞留患者中试验无导管自发排尿 (TWOC) 的成功. 根据患者是否接受药物,年龄和表现状况预测TWOC结果的不同.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 男人下尿道症状 男人下尿道症状
- 急性尿液保留症是什么意思
背景情况:
- 急性尿 (AUR) 需要干预,通常涉及无导管自发排尿 (TWOC) 的试验.
- 成功TWOC的预测因素以及先前存在的药物在AUR管理中的作用仍然不完全理解.
研究的目的:
- 为了研究男性有AUR的TWOC结局.
- 为了确定成功TWOC的预测因素.
- 评估补充药物治疗对TWOC成功的影响.
主要方法:
- 对576名患有AUR和空气后残留量 (PVR) >250毫升的男性进行了回顾性研究,接受了TWOC.
- 患者分为药物治疗 (接受α1阻断剂) 和原始组.
- 通过PVR ≤150mL和无不适的排泄能力来定义TWOC的成功;如果失败,则表示重新插入.
主要成果:
- 原始组有更多的老年患者具有更高的性能状态 (PS) 和较小的前列腺体积.
- 药物治疗患者的年龄<80岁 (OR 1.701) 和原始患者的PS<2 (OR 2.710) 是TWOC成功的独立预测因素.
- 在各自组中,在成功和不成功的TWOC结果之间观察到显著的年龄和PS差异.
结论:
- 这是第一个根据药物状态对AUR患者进行分类的研究,揭示了不同的背景和TWOC预测因子.
- 药物状态影响患者特征和TWOC结果预测指标,这表明AUR的不同病因.
- 建议根据先前存在的药物状况为男性下尿路症状量身定制AUR管理.
相关概念视频
01:17Urinary Tract Infection IV: Nursing Management
29
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
29
01:26Cardiac Catheterization IV: Nursing Management
76
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
76
01:19Urodynamic Studies: Uroflowmetry
117
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
117
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
16
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
16
01:21Nursing Assessment of the Genitourinary System I: Health History
33
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
33
01:26Urine Studies II: Urine Culture and Sensitivity Test
63
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
63