在脊髓损伤后膀管理,症状和满意度的性别差异
Jeremy B Myers1, John T Stoffel2, Sean P Elliott3
1Department of Surgery (Urology), University of Utah, Salt Lake City, Utah.
The Journal of urology
|July 3, 2023
概括
脊髓损伤 (SCI) 的女性使用手术更多,干净间歇性导管治疗少. 膀症状和满意度在女性中更差,而手术显示出显著的益处.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 脊髓损伤 (SCI) 经常导致神经性膀功能障碍.
- 膀管理策略和结果可以根据患者的人口统计学,包括性别而有很大差异.
研究的目的:
- 调查膀管理方法的性别分层差异.
- 描述男性和女性之间膀症状和SCI后的满意度的差异.
主要方法:
- 这是一项针对1479名患有SCI的成年参与者的前性,横截面和观察性研究.
- 膀管理分为干净的间歇性导管,内置导管,手术或排泄.
- 神经性膀症状评分和与膀相关的满意度是主要和次要结局,使用性别分层多变量回归分析.
主要成果:
- 与男性相比,女性 (40%) 较少使用干净间歇性导管 (42.6%与56.5%) 和更多使用手术 (22.6%与7.0%).
- 在所有测量结果中,女性报告了更糟糕的膀症状和满意度.
- 住院导管与男性和女性的整体症状和失禁率较少有关.
- 手术对女性的膀症状和满意度有显著的好处.
结论:
- 在SCI后的膀管理中存在显著的基于性别的差异,女性的外科手术干预率更高.
- 女性经历了较差的膀症状概况和SCI后较低的满意度.
- 手术干预对女性来说提供了实质性的改善,而内置导管对两性都有好处,而对于症状负担而言,干净的间歇性导管比干净的间歇性导管更好.
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