使用膀日记以防止存储功能障碍患者不必要的治疗:一项回顾性研究
Kanya Kaga1, Kosuke Mikami2, Mayuko Kaga3
1Department of Urology, Chiba Prefectural Sawara Hospital, Katori, JPN.
Cureus
|October 3, 2024
概括
膀日记 (BD) 有助于识别可能不需要进一步治疗的轻度存储症状患者. 超过三分之一的患有轻度症状和低OABSS的患者在BD记录后不希望接受治疗.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 患者报告的结果.
背景情况:
- 频率体积图 (FVC) 或膀日记 (BD) 是诊断下尿路症状的诊断工具.
- 患者可能会在使用BD后改善并选择不再接受进一步的治疗.
研究的目的:
- 为了确定BD记录后不希望接受治疗的患者的特征.
- 评估BD记录后储存症状的变化.
主要方法:
- 对75名完成为期三天的BD的患者进行了回顾性研究.
- 患者被分为两组:所需治疗与不再需要治疗.
- 患者背景,BD数据,OABSS和ICIQ-UI SF分数的比较.
主要成果:
- 36.0%的患者不希望在BD后接受治疗.
- 这些患者的白天/夜间频率较低,泄漏较少,夜尿较少,基线OABSS/ICIQ-UISF得分较低.
- 基线OABSS总得分为6分或以下预测不需要治疗.
结论:
- 膀日记记录发现有很大比例的患者有轻微的储存症状,不需要进一步干预.
- 患有轻度症状 (OABSS ≤ 6) 的患者可以通过使用BD避免不必要的治疗.
- 在门诊环境中,BD可以帮助量身定制治疗计划并管理患者的期望.
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