绝经后和绝经前妇女在急性无并发性囊炎中的症状表现的差异:一个多机构试点研究
Atsushi Wanifuchi1, Yuki Kyoda1, Takuto Ogasawara1
1Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Current urology
|July 14, 2023
概括
更年期状态对患有急性无并发性囊炎的妇女的下尿路症状产生影响. 绝经后的妇女经历了更严重的储存症状,如夜尿和急性,即使在抗生素治疗后.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 传染性疾病 传染性疾病
背景情况:
- 急性无并发性囊炎在女性中很常见.
- 下尿道症状 (LUTS) 可以根据更年期状态而有所不同.
- 了解这些差异对于有效治疗至关重要.
研究的目的:
- 为了前性地比较绝经前和绝经后妇女与急性无并发性囊炎的LUTS.
- 为了评估抗生素治疗前后的症状变化.
- 根据更年期状态,识别症状表现和解消的差异.
主要方法:
- 对患有急性无并发性囊炎的成年女性进行前性研究.
- 在2019-2020年间从4个机构收集的数据.
- 核心下尿道症状评分 (CLSS) 用于在基线和口服抗生素治疗后1周后期的症状评估.
主要成果:
- 在66名患者中,60名患者治疗后发烧症得到缓解.
- 总的来说,CLSS得分从13到4显著改善.
- 绝经前妇女报告了更多的基线尿道疼痛和较差的生活质量,而绝经后妇女则有更突出的夜尿,急迫性和急迫性失禁. 在治疗后,绝经后的妇女仍然显示出更高的CLSS得分,特别是在夜和紧急情况下.
结论:
- 更年期状态会影响急性无并发性囊炎中LUTS的出现和持续.
- 储存症状 (夜,急性) 需要仔细解释,考虑到更年期状态.
- 进一步的研究可能会根据LUTS的更年期差异来改进治疗策略.
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