摘要
目的:探讨尿流动力学检查对女性糖尿病性膀胱病的临床价值。方法根据糖尿病病程,将56例女性糖尿病膀胱患者分为<15年组(31例)和≥15年组(25例),采用Encore 5.7尿流动力学检查仪,行四道程尿流动力学检查,并根据检查结果进行分析。结果<15年组患者的平均剩余尿量(35±16)ml,平均初感尿意容量(220±76)ml,平均最大膀胱容量(380±92)ml,逼尿肌反射亢进15例,低顺应性膀胱3例,高顺应性膀胱14例;≥15年组患者的平均剩余尿量(65±24) ml,平均初感尿意量(330±88)ml,平均最大膀胱容量(580±122) ml,逼尿肌反射亢进6例,低顺应性膀胱16例,高顺应性膀胱6例。两组平均剩余尿量、平均初感尿意容量、平均最大膀胱容量及低顺应性膀胱比率比较,差异均有统计学意义(t值分别为5.36、4.94、6.79和11.90,均P<0.01)。结论尿流动力学检查提示糖尿病性膀胱功能损害程度,为糖尿病性膀胱病程诊断和治疗提供客观依据。
Objective To evaluate the changes of urodynamics in female patients with diabetic cystopathy.Methods Fifty six female patients with diabetic cystopathy were enrolled in the study , including 31 cases with diabetic course <15 years ( groupⅠ) and 25 cases with diabetic course ≥15 years ( group Ⅱ) .Urodynamic examination was performed in all patients and the urodynamic parameters were compared between two groups.Results The average residual urine volume , the volume of first bladder sensation and the max bladder capacity in groups ⅠandⅡwere (35 ±16)ml and (65 ±24) ml,(220 ± 76)ml and (330 ±88) ml, (380 ±92) ml and (580 ±122) ml, respectively; 3 out 31 and 16 out of 25 patients in groups Ⅰ and Ⅱ showed low compliance .The above indexes between two groups were statistically significant ( P〈0.01).Conclusion Urodynamics can indicate the severity of functional damage of urinary bladder in patients with diabetic cystopathy .
出处
《中华全科医师杂志》
2014年第5期374-376,共3页
Chinese Journal of General Practitioners
关键词
尿动力学
膀胱
神经原性
糖尿病
女性
Urodynamics
Urinary,bladder,nearogenic
Diabetesmellitus
Female