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糖尿病患者下尿路功能障碍:内分泌学家的知识基础和临床实践模式
J S A Khan1, K Bowers2, M Z Ahmed3
1Department of Urology, St James's Hospital, Dublin, Ireland. jodysakhan@gmail.com.
Irish journal of medical science
|November 12, 2025
概括
许多糖尿病患者经历下尿路症状 (LUTS),但医疗保健提供者往往不评估或管理它们. 将LUTS查整合到糖尿病护理中,对于改善患者的治疗结果至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 下尿路症状 (LUTS) 在糖尿病患者中很普遍.
- 目前的糖尿病指南缺乏针对LUTS评估和管理的具体建议.
- 糖尿病可以加剧现有的尿路问题.
研究的目的:
- 探索糖尿病患者中LUTS的患病率.
- 评估目前医疗保健专业人员在糖尿病患者中对LUTS的管理实践.
主要方法:
- 一项涉及卫生保健专业人员和爱尔兰糖尿病诊所患者调查的横截面研究.
- 医疗保健专业调查评估了糖尿病患者对LUTS的认识和管理实践.
- 患者调查评估了1型 (T1DM) 和2型糖尿病 (T2DM) 患者中LUTS患病率和与提供者的讨论.
主要成果:
- 88%的医疗保健专业人员知道糖尿病中LUTS患病率增加,但只有19%的人经常询问症状.
- 55.8%的T1DM患者和71.1%的T2DM患者报告了LUTS.
- 只有33%的T1DM和40%的T2DM患者与他们的提供者讨论了LUTS;年龄与症状严重程度相关.
结论:
- 在糖尿病患者中识别和管理LUTS方面存在重大差距.
- 需要进行常规的LUTS评估和跨学科的合作,以改善患者的治疗结果和生活质量.
- 建议将泌尿外科护理纳入糖尿病管理协议,以解决这种并发症.
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