一群患有间歇性囊炎/膀疼痛综合征的妇女的膀灌注模式
Clarissa A Niino1, Lauren N Tholemeier1, Catherine Bresee2
1Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA.
Urogynecology (Philadelphia, Pa.)
|December 18, 2023
概括
大多数患有间歇性囊炎/膀疼痛综合征 (IC/BPS) 的女性没有完成推的六周内静脉灌注治疗疗程. 这项研究强调了IC/BPS治疗坚持的差距.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 盆腔健康 盆腔健康
- 临床实践模式 临床实践模式
背景情况:
- 间歇性囊炎/膀疼痛综合征 (IC/BPS) 是一种导致膀疼痛的慢性疾病.
- 肠道灌注是IC/BPS的常见治疗方法,指南建议每周进行六次治疗.
- 了解治疗坚持对于优化患者的治疗结果至关重要.
研究的目的:
- 分析诊断为IC/BPS的妇女体内灌注治疗的模式.
- 评估IC/BPS的推治疗方案的遵守情况.
主要方法:
- 对已确认IC/BPS诊断的女退伍军人事务患者进行了回顾性图表审查.
- 通过静脉灌注的日期被抽象出来,以定义治疗过程.
- 一个课程被定义为一个或多个插入,访问之间不到21天.
主要成果:
- 在641名IC/BPS妇女中,78名妇女接受了344次静脉插入.
- 平均患者有1.5个治疗疗程,其中55%由单次灌注组成.
- 只有22%的治疗疗程包括推的六种或更多种植.
结论:
- 很少有IC/BPS的女性完成了推的六周灌注疗程,大多数女性每次只接受一次灌注.
- 需要进一步的研究来确定偏离治疗指南的原因,例如提供者的做法或患者的耐受性.
- 优化IC/BPS治疗可能会改善患者的治疗结果.
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