在接受尿动力学治疗的儿童中确定初始静止腹部压力
Sanjay Sinha1, Pawan Vasudeva2, Arabind Panda3
1Department of Urology, Apollo Hospital, Hyderabad, India.
Neurourology and urodynamics
|January 15, 2024
概括
这项研究为儿科泌尿动力学建立了基线腹部压力范围,发现它们在儿童中广泛适用,无论个体特征如何. 这些静止压力低于以前在成年人中报告的压力.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 尿动力学 尿动力学
- 下尿道功能 下尿道功能
背景情况:
- 国际节制协会建议在侵袭性尿动力学方面将传感器设置为大气压的零.
- 儿童的基线腹部压力范围没有得到很好的描述,与成年人不同.
- 这项研究旨在在儿科群体中确定这些关键基线值.
研究的目的:
- 在侵袭性泌尿动力学过程中定义儿童初始静止腹压的正常范围.
- 确定年龄,性别或诊断等因素是否影响这些压力.
- 为小儿病患者提供准确的泌尿动力学评估的参考值.
主要方法:
- 100名儿童 (0-18岁) 的前性,多中心观察性研究.
- 使用充水系统的侵入性泌尿动力学,记录腹部,腹腔内和排骨压力.
- 在仰卧,坐着和站立的位置进行测量;数据分析与患者特征的相关性.
主要成果:
- 最初的休息腹部压力 (IQR) 范围为:5-15 cmH2O (仰卧),13-20 cmH2O (坐着),15-21 cmH2O (站着).
- 年龄,性别,身高,体重,BMI或诊断对压力没有显著的影响.
- 静止时的初始驱动器压力为0-4cmH2O,在各种姿势中保持一致.
结论:
- 这项研究为儿科泌尿动力学中的初始休息腹压提供了第一个定义的范围.
- 这些儿科范围广泛适用,并不会受到个体患者因素的显著影响.
- 观察到的儿科压力通常低于历史成人值.
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