患有膀-尿道逆流症的儿童中发育不良的患病率和决定因素
Stefano Guarino1, Anna Di Sessa1, Maeva De Lucia1
1Department of Woman, Child and of General and Specialized Surgery, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Acta paediatrica (Oslo, Norway : 1992)
|August 8, 2024
概括
发育不良 (FTT) 影响不到5%的膀-尿道逆流 (VUR) 的儿童,通常是由于非脏问题. 补充剂可能有助于在尿液溶液损失的特定情况下的生长.
科学领域:
- 儿科脏病学 儿科脏病学
- 增长障碍 发展障碍 发展障碍
背景情况:
- 膀-尿道逆流 (VUR) 是儿童常见的疾病.
- 发育不良 (FTT) 可能是VUR的并发症,但其患病率和原因需要进一步调查.
- 尿液溶解物损失可能会影响VUR儿童的生长.
研究的目的:
- 确定儿科VUR患者中FTT的患病率和促成因素.
- 为了评估补充剂对VUR患者在尿液中溶解物质损失的增长的影响.
主要方法:
- 对1277名VUR患者的回顾性分析.
- 在患有FTT的患者中查脏管状功能障碍 (TFI).
- 对于FENa>2%或低碳酸盐含量提供补充.
主要成果:
- FTT的患病率为4.4% (56/1277名患者).
- 外原因 (75%) 是FTT的主要驱动因素,而不是复发性尿路感染 (p=0.68).
- 在FTT患者中,TFI存在于16.1%的患者中;补充剂导致了一些人的追赶增长.
结论:
- 在VUR患者中,FTT不常见 (<5%),主要与外因子有关.
- 经常性尿道感染并不能显著预测VUR中的FTT.
- 用和碳酸补充剂对精选的VUR患者具有尿液溶液损失的潜在益处.
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