脊髓损伤患者的泌尿学监测 - 范围审查
Christian Bødker1, Maja F Riisbøl2, Benjamin Y A Khan2
1Spinal Cord Injury Center of Western Denmark, Viborg, Denmark. christian.bodker@hotmail.com.
Spinal cord
|January 5, 2024
概括
血清囊素C对于估计脊髓损伤 (SCI) 患者的功能是准确的. 基于风险因素而不是坚持的选择性监测建议在SCI中检查尿路异常 (UTA).
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 康复医学 康复医学 康复医学
背景情况:
- 脊髓损伤 (SCI) 需要仔细监测泌尿和系统.
- 尿路异常 (UTA) 和功能下降是SCI患者的重大问题.
- 目前的监测策略需要对有效性和以患者为中心的适用性进行评估.
研究的目的:
- 审查SCI患者泌尿和系统监测的文献.
- 评估非侵入性非超声波监控方法的有用性.
- 评估系统超声监测的使用情况,并确定UTA或脏恶化的风险因素.
主要方法:
- 根据PRISMA-ScR指南进行全面的范围审查.
- 在PubMed上使用与SCI,功能和监控程序相关的关键词进行文献搜索.
- 基于预先定义的资格标准,对685项已获取的研究进行系统评估.
主要成果:
- 血清囊素C (s-cysC) 在SCI患者的估计膜过率 (GFR) 中表现出准确性.
- 在受伤后的30年内,UTA发病率在监测附加组和非附加组之间没有差异.
- 尿道/衰退的关键危险因素包括非创伤性SCI,受伤以来的时间,高排骨压力,上泌尿道扩张,反流,膀穿,以及前史上的石块去除.
结论:
- 在大多数SCI病例中,血清囊素C测量被推作为血清肌素的替代品.
- 监测的遵守似乎不会增加发展UTA的风险.
- 实施针对个体基线风险概况量身定制的选择性监测可以优化患者护理和资源配置.
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