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抗胰岛素对尿道支架相关症状的影响:一项双盲随机对照试验
David S Han1, Ezra J Margolin1, Miyad Movassaghi1
1Department of Urology, Columbia University Irving Medical Center, New York, New York.
Urology practice
|February 12, 2025
概括
抗胰岛素药物,如fexofenadine,在接受尿路结石病治疗的患者中没有显著缓解尿路支架症状. 这项随机对照试验发现,使用抗组胺药物并没有改善疼痛或尿路症状.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 药理学 药理学是指药理学的学科.
背景情况:
- 尿道支架通常在 urolithiasis 治疗后使用.
- 支架安置可以引起显著的疼痛和尿路症状.
- 抗胰岛素已在其他疼痛条件中表现出有效性,促使对支架相关症状进行调查.
研究的目的:
- 为了评估抗胺药物fexofenadine在减少尿路支架相关症状方面的疗效.
- 评估fexofenadine对尿管支架患者疼痛和尿路功能障碍的影响.
主要方法:
- 进行了一次双盲随机对照试验.
- 接受尿路透镜检查尿病的成年人接受了fexofenadine (每天180毫克) 或安慰剂10天.
- 主要结果是使用尿道支架症状问卷进行测量.
主要成果:
- 在费克索芬纳丁和安慰剂组之间,在尿路症状或疼痛得分方面没有发现显著差异.
- 尿道支架症状问卷的所有领域都没有显著差异.
- 退院后的麻醉品使用,办公室通话或急诊室访问没有显著差异.
结论:
- 术后使用fexofenadine并没有显著减少与尿路支架相关的症状.
- 抗胰岛素耐受性很好,但对支架不适没有提供临床益处.
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