血液透析的男性患者下尿路症状:前性和多中心横截面研究
Faris Abushamma1,2, Enas Zidan1, Zainab E Douglass1
1Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
SAGE open medicine
|August 2, 2024
概括
低尿路症状 (LUTS) 在男性血液透析患者中很普遍,影响生活质量. 年龄,吸烟和肥胖会增加存储症状的风险,而释放症状会影响生活质量.
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
- 公共卫生 公共卫生
背景情况:
- 下泌尿道症状 (LUTS) 是常见的,并显著影响生活质量,特别是在患有并发病和末期脏疾病的男性中.
- LUTS对接受血液透析的患者的生活质量产生负面影响.
研究的目的:
- 在男性血液透析患者中评估LUTS的存在和严重程度.
- 确定加剧LUTS的因素及其对生活质量的影响.
主要方法:
- 一项涉及男性血液透析患者的前性,多中心,横截面研究.
- 收集人口统计和临床数据,以及核心 LUTS 问卷得分.
- LUTS变量与患者特征之间的相关性分析.
主要成果:
- 87%的患者报告了储存症状,85%的人报告了空虚症状.
- 具体储存症状的发生率包括夜 (70%) 和急迫 (44%);排空症状包括弱流 (60%) 和不完全排空 (36%).
- 15%的人对生活质量产生了显著的负面影响;缺少排泄症状与更好的生活质量相关. 60岁以上的年龄,吸烟和肥胖与增加存储症状有关.
结论:
- 在男性血液透析患者中,储存和排泄的LUTS是常见的,对生活质量的影响通常很小.
- 年龄,吸烟和肥胖是加剧储存LUTS的重要危险因素.
- 膀疼痛与更长的透析持续时间 (24个月以上) 相相关.
相关概念视频
01:20Disorders of the Male Reproductive System
373
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
373
01:20Disorders of the Urinary System
274
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
274
01:17Factors Affecting Renal Clearance: Renal Impairment
69
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
69
01:27Dialysis
286
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
286