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神经性下游尿路功能障碍
John S Wiener1, Rajeev Chaudhry2
1Department of Urology, Duke University Medical Center, Box 3831, Durham, NC 27710, USA.
The Urologic clinics of North America
|June 29, 2023
概括
儿科神经性下尿路功能障碍 (NLUTD) 管理已经从生存转向生活质量. 现在的指导方针强调主动护理,以改善NLUTD儿童的治疗结果,这通常与脊柱裂相关.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 神经科学是一个神经科学.
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 神经性下尿路功能障碍 (NLUTD) 在儿科护理中提出了重大挑战,影响脏的保存,尿路感染,抑郁和独立性.
- 从历史上看,管理专注于生存,但近几十年来显示出对优化受影响儿童的生活质量的进化.
- 脊柱裂是儿科NLUTD的一个常见的潜在原因,需要专门的护理指南.
研究的目的:
- 审查和比较四个不同的指导方针来管理儿科NLUTD.
- 突出NLUTD护理的范式转变,从一个期待的方法到积极的管理策略.
- 为儿科泌尿科医生提供有关改善长期结果的当前最佳实践的信息.
主要方法:
- 针对儿科NLUTD的四个既定医疗和外科护理指南的审查.
- 分析过去50年来管理重点的演变.
- 对方法的比较评估,特别是与脊柱裂相关的NLUTD.
主要成果:
- 50年来,儿科NLUTD护理取得了显著进展.
- 在经过审查的指导方针中,对主动管理策略的明确趋势很明显.
- 指南反映了从优先考虑仅仅是生存到提高整体生活质量的转变.
结论:
- 目前的儿科NLUTD管理强调主动干预,以获得更好的脏,节和独立结果.
- 护理的发展反映了对改善NLUTD儿童终身福祉的承诺.
- 遵守最新的指导方针对于在儿科神经性膀护理中取得最佳结果至关重要.
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