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慢性异常性尿: 102名患者的并发症和结局
Fintan Milligan1, Charlotte Whittingham2, Voula Granitsitotis3
1Centre for Clinical Brain Sciences, University of Edinburgh, UK.
Journal of psychosomatic research
|April 21, 2024
概括
慢性异常性尿经常与功能神经障碍和慢性疼痛同时发生,这表明潜在的共同潜在机制. 这项研究强调了在管理这种情况时需要进行全面评估的需要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 慢性异常性尿 (CIUR) 是一种鲜为人知的疾病.
- 以前的研究表明,与功能神经障碍 (FND) 和慢性疼痛有潜在的联系.
研究的目的:
- 在CIUR患者中调查FND,慢性疼痛和其他并发症的频率.
- 为了确定CIUR中的触发因素,尿动力学发现,药物史,管理和结果.
- 探索CIUR,FND和慢性疼痛之间潜在的共享机制.
主要方法:
- 对CIUR患者电子健康记录的回顾性分析.
- 从2018年1月至2021年1月期间从二级护理泌尿病诊所收集的数据.
- 包括患者人口统计,并发症,触发因素,泌尿动力学结果,药物和治疗结果.
主要成果:
- 分析了102名患者 (98%为女性,平均年龄为41.9岁).
- 25%的人患有FND,57%的人患有慢性疼痛.
- 48%的人已经确定了手术或医疗触发因素,81%的人接受了泌尿动力学评估,通常没有特定的异常或高血压的尿道.
- 观察到高水平的阿片类药物 (49%) 和二二类药物 (26%) 的使用.
- 尿只在6%的患者中消失,随访时间中位数为54个月.
结论:
- CIUR经常与FND和慢性疼痛并发.
- 这些并发症表明潜在的共享病理生理机制.
- 需要进一步的研究来阐明这些联系,并改善CIUR管理.
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