关于神经系统疾病儿童尿病的系统性审查
Atinc Tozsin1, Hakan Akdere1, Selcuk Guven2
1Department of Urology, Trakya University School of Medicine, Edirne, Turkey.
World journal of urology
|November 10, 2024
概括
患有神经系统疾病的儿童面临结石的风险增加,由于不运动和感染. 管理包括监测骨密度,尿液分析,并鼓励身体活动,以预防石病.
科学领域:
- 儿科脏病学 儿科脏病学
- 神经学 神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 医疗保健的改善增加了神经系统疾病儿童的预期寿命.
- 这导致二次健康问题增加,特别是结石 (结石).
- 了解风险因素和风险管理对于这个脆弱人群至关重要.
研究的目的:
- 审查患有神经系统疾病的儿科患者石头疾病的风险因素,管理策略和治疗结果.
- 专门分析固定,尿路感染 (UTI) 和新陈代谢异常在石发生中的作用.
主要方法:
- 在PubMed和Ovid Medline上进行了系统的文献搜索.
- 在对771个初始记录进行选后,包括了11个相关文章.
- 审查的研究主要是小规模的,单中心调查.
主要成果:
- 在包括的研究中,结石病的发病率在5-54%之间.
- 发现的关键风险因素包括动不动,尿道感染和高度.
- 治疗方式包括医疗驱逐疗法 (MET),ESWL,RIRS和PCNL.
结论:
- 基本的管理步骤包括骨矿物质密度监测和24小时尿液分析以进行代谢评估.
- 鼓励体力活动,如能容忍,至关重要.
- 解决这些因素可以帮助减轻患有神经系统疾病的儿童结石病的风险和影响.
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