尿动力学检查对糖尿病患者膀胱功能的评价  

Evaluation on Bladder Function of Diabetic Patients by Urodynamics

作　　者：杨志刚[1] 刘和[1] 王昕[1] 

机构地区：[1]内蒙古包头市中心医院泌尿外科,014040

出　　处：《中国误诊学杂志》2008年第5期1012-1013,共2页Chinese Journal of Misdiagnostics

摘　　要：目的:探讨尿动力学检查在糖尿病患者膀胱功能障碍诊断的意义。方法:对伴有下尿路症状的糖尿病患者34例,按糖尿病病史分为早期组(<8 a)与进展期组(>10 a),分别进行尿动力学测定,获取膀胱初始容量、最大膀胱容量、最大尿流率、残余尿、逼尿肌压力等参数作相关分析。结果:34例均完成尿动力学测定,尿动力学表现异常占30例(88.2%);早期组与进展期组相比,最大尿流率明显下降(P<0.01),初始尿意容量、残余尿、最大膀胱容量明显增高(P<0.01),逼尿肌收缩力亦下降(P<0.01)。结论:尿流动力学检查是对DCP进行客观评价的最重要的手段;早期的糖尿病患者予以治疗干预,对预防膀胱功能恶化有重要的意义。Objective：To evalute the bladder functions by urodynamics studies in patients with diabetic mellitus （DM） combined with lower tract sysmptoms （LUTS）. Method ： Patients with DM in early stage （〉 8 years） were 21 cases, patients with DM in late stage （〉 10 years） were 13 cases. The urine filtration （UFR）,first urinary sense ,synchronized bladder irrigation pressure/bulk assay were measured by using the urodynamics system. Results：Of the 34 cases who underwent all items of urodynamic examination, 30 cases （88.2 % ）had abnormal findings. There was a signficent difference in UFR,first urinary sense and nchronized bladder irrigation pressure/bulk assay and detrusor contraction（P〈 0.01）. Conclusions ：it is necessary to perform urodynamic study in DM ;in the early stage of DM, the bladder function is impaired obviously. The requisite treatment is needed.

关 键 词：尿动力学 糖尿病并发症 膀胱/病理生理学 人类 

分 类 号：R587.2[医药卫生—内分泌]