儿科尿病的代谢评估:一个关键的组成部分被忽视了吗? 由YAU-PU工作组进行的国际调查
Y Quiroz Madarriaga1, M I Dönmez2, R J M Lammers3
1Unidad de Urología Pediátrica, Fundación Puigvert, Barcelona, Spain.
Actas urologicas espanolas
|August 3, 2025
概括
儿科尿病在全球范围内正在上升. 对儿科结石的代谢评估不一致,泌尿科医生的参与有限,需要标准化的指导方针和教育.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 儿童尿病的发病率在全球范围内不断增加.
- 代谢异常是儿科结石形成的一个重要因素.
- 目前还缺乏对患有尿病的儿童进行代谢评估的标准化方案.
研究的目的:
- 评估全球儿科泌尿科医生当前的实践和有关儿科泌尿病的代谢评估的知识.
- 为了确定目前儿童结石疾病的诊断和治疗策略中的差距.
主要方法:
- 在儿科泌尿科医生中进行了一项国际调查.
- 收集的数据包括临床医生人口统计和儿科石头疾病的代谢评估策略.
- 从49个国家的194名临床医生收集了回复.
主要成果:
- 只有11%的临床医生经常对儿科尿病进行代谢评估.
- 虽然78%的人要求石头分析,但只有46%的人订购了24小时尿液研究.
- 儿科科医生在84%的病例中进行了评估,尿科医生参与度有限 (<25%).
- 对于点尿指数和晶uria作为危险因素的认识是多样化的 (55%的识别晶uria).
- 只有不到三分之一的泌尿科医生有信心解释结果或开始治疗.
结论:
- 在对儿科 urolithiasis 的代谢评估中存在显著的不一致性.
- 需要更明确的指导方针和加强儿童泌尿科医生的教育.
- 增加泌尿科医生的参与对于改善儿科结石的代谢评估和管理至关重要.
相关概念视频
01:30Urinary Tract Calculi III: Medical Management
23
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
23
01:28Urinary Tract Calculi I: Introduction
44
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
44
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
40
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
40
01:25Urinary Tract Calculi VI: Surgical Management
27
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
27
01:27Urinary Tract Calculi IV: Nutrition Therapy and Prevention
32
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
32
01:28Urinary Tract Calculi V: Nursing Management
28
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
28