在COVID-19期间尿路结石治疗的变化:一个单中心急诊室研究研究
Adrian Militaru1,2, Catalin Andrei Bulai1,2, Cosmin Victor Ene1,2
1Department of Urology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Research and reports in urology
|April 29, 2025
概括
随着COVID-19大流行,尿道质症的住院病例大幅减少,导致住院时间更长,并发症增加. 这凸显了在健康危机期间获得紧急泌尿器科护理的挑战.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
背景情况:
- COVID-19大流行影响了全球的医疗保健系统,改变了患者管理和获得护理的机会.
- 尿道结石 (尿道中的结石) 需要及时干预,以预防并发症.
研究的目的:
- 评估COVID-19大流行对住院率,住院时间和紧急尿道质病例管理的影响.
- 为了比较患者和石头的特征,治疗结果,以及大流行前和大流行期间的并发症.
主要方法:
- 在紧急情况下入院的219名尿道质病患者的回顾性研究.
- 两个组的比较:COVID-19前 (2019年10月至2020年2月) 和COVID-19 (2021年10月至2020年2月).
- 分析患者的人口结构,石头特征,住院时间,手术,血清肌,尿液培养和并发症.
主要成果:
- 在大流行期间,阻塞性尿路结石病的入院人数减少了73.41%.
- 在患者年龄,石头横向性/位置,血清肌素和尿液培养的阳性方面观察到显著差异.
- 减少了初级石头提取程序,但在疫情期间增加了手术时间和显著更长的住院时间.
- 报告指出,并发症的发生率更高,与延迟治疗和改变管理策略有关.
结论:
- 随着COVID-19大流行,尿道化病的住院病例减少了,但相关并发症增加了.
- 减少医疗护理和转向保守治疗 (上尿道排水) 可能导致不良结果.
- 流行病状况对有效管理尿道化等紧急泌尿病状况提出了重大挑战.
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