患有脚带炎的患者随后发展下尿路症状的风险:全国性,基于人口的研究
Yen-Lun Kung1,2,3, Hsuan-Shu Shen1,2,3, Li-Kung Wu1,2,3
1Department of Chinese Medicine, Hualien Tzu Chi General Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan.
Medicine
|July 23, 2025
概括
脚带炎 (PF) 患者患上下尿路症状 (LUTS) 的风险显著增加. 这项研究突出了这些条件之间的新兴关联,表明需要进一步调查的潜在联系.
科学领域:
- 整形外科和泌尿外科.
- 综合医学是一个整体的医学.
- 流行病学 流行病学
背景情况:
- 脚带炎 (PF) 和下泌尿道症状 (LUTS) 在西方医学中并不常见.
- 传统中国医学的理论表明,通过肌肌神经午线的连接.
- 现有的研究缺乏探讨PF和LUTS之间的潜在联系.
研究的目的:
- 为了调查植物性带炎 (PF) 的诊断和随后下尿道症状 (LUTS) 的发展之间的关联.
- 确定PF是否是LUTS的独立风险因素.
- 在不同的人口分组中探索这种关联.
主要方法:
- 基于人口的回顾性队列研究,使用台湾国家健康保险研究数据库.
- 纳入标准:PF诊断,年龄>=18,没有先前的LUTS诊断.
- 基于年龄,性别和LUTS历史的非PF对照的倾向性得分匹配 (1: 1).
- 使用多变量考克斯回归和卡普兰-梅尔分析.
主要成果:
- 患有PF的患者表现出明显增加患LUTS的风险 (调整后的危险比率 = 1.35,95% CI: 1.23-1.47).
- 卡普兰-梅尔分析证实PF组中LUTS的累积发病率较高 (P <= .001).
- 在各种子组 (性别,年龄,随访时间) 中,PF被确定为LUTS的独立风险因素.
结论:
- 这项研究提供了第一个证据,将盆腔筋炎 (PF) 诊断与随后下尿道症状 (LUTS) 的风险增加联系起来.
- 这些发现表明,PF可能是LUTS发展的独立风险因素.
- 需要进一步的研究来阐明PF和LUTS之间的潜在因果机制.
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