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患有1型糖尿病的青少年膀功能障碍
Vinni Faber Rasmussen1, Mathilde Thrysøe2, Páll Karlsson3
1Danish Pain Research Center, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark; Steno Diabetes Center Aarhus, Aarhus University Hospital, Denmark; Department of Pediatrics and Adolescents, Randers Regional Hospital, Randers, Denmark.
Journal of pediatric urology
|May 5, 2024
概括
患有1型糖尿病的青少年可能会出现膀功能障碍和夜,即使没有其他自主神经病变的迹象. 建议每年对泌尿病症状进行查,以确定潜在的问题并优化治疗.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 糖尿病学 糖尿病学
背景情况:
- 下尿道症状 (LUTS) 在患有糖尿病的成年人中很常见.
- 有限的研究存在于1型糖尿病 (T1D) 的青少年中的LUTS.
- 自主神经病变会影响膀功能.
研究的目的:
- 使用非侵入性尿动力学研究T1D青少年的膀功能.
- 评估尿动力学作为自主神经病变的指标.
- 检查尿流,症状和自主测试之间的关联.
主要方法:
- 49名患有T1D的青少年和18名对照者的横截面研究.
- 尿流量计,超声波,复合自主症状评分 (COMPASS) -31问卷.
- 心血管反射测试 (CARTs) 和定量运动轴突反射测试 (QSART).
主要成果:
- 在患有T1D的青少年中,尿道异常没有显著增加.
- 观察到减少流速加速和延长尿流的情况,这表明detrusor活动不足.
- 与对照人群相比,糖尿病患者的夜尿风险更高.
结论:
- 泌尿系统症状在患有T1D的青少年和健康同龄人中都很常见.
- 晚和潜在的膀功能障碍是T1D青少年的相关问题.
- 每年进行泌尿病症状查对早期检测和管理有好处.
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