在患有下尿路功能障碍的儿童的三天排泄日记中,排泄量和频率是否不同?
Raziye Ergun1, Cagri Akin Sekerci2, Mehmet Cetin3
1Pediatric Urology, Kocaeli Derince Training and Research Hospital, Kocaeli. raziye_ergun@hotmail.com.
概括
低尿路功能障碍儿童的排泄量在三天的排泄日记中是一致的. 然而,空白的频率有所不同,特别是在那些症状得分较高的人群中,这表明两天的日记可能足以诊断.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 下尿道功能障碍 下尿道功能障碍
- 诊断工具 诊断工具
背景情况:
- 排泄日记 (VD) 对于评估排泄量 (VV) 和排泄频率 (VF) 在患有下泌尿道 (LUT) 功能障碍的儿童中至关重要.
- 目前的推建议VD至少为2天,但每日测量的一致性需要进一步调查.
研究的目的:
- 为了在3天的VD中比较空化体积 (VV) 和空化频率 (VF) 跨日.
- 在患有LUT功能障碍的儿科患者中,根据膀容量和症状得分分析这些参数.
主要方法:
- 对109名患有LUT症状的儿童进行回顾性分析,这些儿童接受了为期3天的静脉疾病治疗.
- 日间平均VV和VF值的比较,根据性别,排泄功能障碍症状得分 (VDSS),膀容量 (BC) 和诊断进行子组分析.
主要成果:
- 平均VV在整体组和子组 (性别,BC,症状得分) 的几天之间没有显著差异.
- 每天的VF值有显著差异,特别是在VDSS>8.5和正常膀容量 (BC/EBC>65%) 的儿童中.
- 虽然VV是一致的,但注意到了VF变异,特别是在过度活动膀 (OAB) 诊断中.
结论:
- 在患有非神经性LUT功能障碍的儿童中,空化体积在3天的静脉疾病中是一致的.
- 排泄频率的变化可能会发生,特别是在症状得分较高和膀容量正常的儿童中,这会影响诊断准确性.
- 建议VD至少两天,以提高诊断准确度,并指导LUT功能障碍的治疗决策.
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