中国医学创新2024，Vol.21Issue(17)：28-32,5.DOI:10.3969/j.issn.1674-4985.2024.17.007
尿动力学检查在卒中后神经源性膀胱合并良性前列腺增生导致排尿困难中的应用
Application of Urodynamic Examination in Urinary Dysfunction Caused by Post-stroke Neurogenic Bladder Combined with Benign Prostate Hyperplasia
摘要
Abstract
Objective:To explore the application value of urodynamic examination in the treatment of urinary dysfunction caused by post-stroke neurogenic bladder(PSNB)combined with benign prostatic hyperplasia(BPH).Method:From January 2020 to December 2023,60 patients with PSNB and BPH causing difficulty in urination who were admitted to Nanchang People's Hospital were selected as the study subjects,and were divided into the control group(n=30)and the observation group(n=30)by the method of random number table.The control group were treated with transurethral resection of prostate(TURP),the patients in the observation group were examined urodynamically before treatment,and the treatment plan(simple catheterization,vesicostomy,TURP)was selected according to the parameters of urodynamic examination.Maximum urinary flow rate(Qmax),forced urethral pressure at maximal urinary flow rate(Pdet@Qmax),post-void residual urine(PVR),mean number of urinations per day,mean volume of urine voided in a single sitting per day,quality of life(QOL)score and international prostate symptom score(IPSS)before and after treatment were compared between the two groups.Result:Compared with before treatment,the IPSS and QOL scores of both groups decreased 7 days after treatment,and the IPSS and QOL score of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05);7 days after treatment,Qmax,Pdet@Qmax and average daily urination volume increased,while average daily urination frequency and PVR decreased in both groups,Qmax,Pdet@Qmax and average daily urination volume in observation group were higher than those in control group,while average daily urination frequency and PVR were lower than those in control group,the differences were statistically significant(P<0.05).The incidence of complications after treatment in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Urodynamic examination has a guiding role in the selection of treatment methods for PSNB patients with BPH,which can increase the effect of clinical treatment and reduce the complications caused by blind TURP.关键词
尿动力学检查/卒中后神经源性膀胱/良性前列腺增生/经尿道前列腺切除术Key words
Urodynamic examination/Post-stroke neurogenic bladder/Benign prostatic hyperplasia/Transurethral resection of prostate引用本文复制引用
涂红坚,李玉梅..尿动力学检查在卒中后神经源性膀胱合并良性前列腺增生导致排尿困难中的应用[J].中国医学创新,2024,21(17):28-32,5.基金项目
江西卫生健康委科技计划项目(202311260) （202311260）
