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良性前列腺增生症与尿相关的模式:住院尿导管使用和临床后果
Denise M Kresevic1,2, Teresa Dolinar1, Allison Early3
1Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio.
Urology practice
|August 18, 2023
概括
在老年男性患有良性前列腺增生和尿路保留时使用导管是常见的,即使尿液积累中度. 并发症很少,但导管治疗与更多的急救诊所和住院治疗有关.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年医学 老年医学
背景情况:
- 临床指导方针旨在减少不必要的尿导管使用,以预防感染.
- 良性前列腺增生症 (BPH) 管理尿缺乏明确的指导方针.
- 这项研究检查了BPH老年退伍军人的导管使用和并发症.
研究的目的:
- 为了调查空虚后的余尿量,导管实践和相关并发症.
- 为制定与BPH相关的尿的临床指导方针提供信息.
主要方法:
- 对136名65岁以上的男性退伍军人进行了回顾性图表审查.
- 纳入标准:排尿后残留尿量>100cc,没有癌症.
主要成果:
- 59%的患者接受了内置的尿导管.
- 导管用于各种空虚后的残留尿量 (100-150厘米到> 500厘米).
- 低并发症率:51%的出血,36%的疼痛,1个尿路塞psis;4个水缩病例. 导管治疗与急救诊所/住院病例的增加有关.
结论:
- 需要进行更大规模的研究,以制定BPH和尿的临床指南.
- 目前的实践表明,对于与BPH相关的尿路保留,有多种类型的导管使用.
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