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在慢性尿患者中,快速和逐渐的膀减压后降压性血液的比较
Peter Olalekan Odeyemi1, Najeem Adedamola Idowu1
1Division of Urology, Department of Surgery, Ladoke Akintola University of Technology Teaching Hospital, Ogbomosho, Nigeria.
Journal of the West African College of Surgeons
|July 11, 2024
概括
与快速减压相比,缓慢的膀减压显著降低了慢性尿路滞留 (CUR) 患者的后减压血液和输血率. 建议使用渐进的方法,尽管它更繁.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术并发症 手术并发症
- 患者的治疗结果.
背景情况:
- 慢性尿 (CUR) 是一种常见的泌尿器科紧急情况,需要进行膀排水.
- 压缩后出血是CUR管理后的潜在并发症.
- 膀减压的最佳方法 (快速或渐进) 仍在争论中.
研究的目的:
- 为了比较CUR患者的快速和逐渐的尿液膀减压之间的压缩后出血的发生率.
- 评估血液输血的必要性与两组压力减轻组的血液流失相关.
主要方法:
- 这是一项前性随机研究,涉及60名CUR患者.
- 组A:通过18 Fr尿道导管进行快速减压.
- 组B:使用连接到输液液组的导管进行逐渐减压.
主要成果:
- 快速减压组 (A组) 50%的患者经历了粗血质,而逐渐减压组 (B组) 的患者为23.3% (p=0.032).
- 与逐渐减压组 (16.7%) 相比,快速减压组 (26.7%) 的输血率更高.
- 两组之间年龄或人口统计学变量没有显著差异.
结论:
- 逐渐的尿路减压与显著降低血质率和减少对输血的需求有关.
- 尽管更繁,但建议逐渐减压以尽量减少并发症.
- 这项研究支持逐渐减压作为治疗慢性尿路滞留的首选方法.
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