45°半坐卧位对BPH患者膀胱压力容积测定结果的影响  

Influence of 45 degree semi-reclining position on filling cystometry in BPH Patients

作　　者：韦兴华[1] 欧汝彪[1] 杨文俊[1] 

机构地区：[1]广州市第一人民医院泌尿外科,广州510180

出　　处：《广州医药》2016年第4期48-50,共3页Guangzhou Medical Journal

摘　　要：目的探讨45°半坐卧位对良性前列腺增生患者膀胱压力容积测定的影响。方法按照入选标准和排除标准选取临床确诊为良性前列腺增生(Benign Prostatic Hyperplasia,BPH)患者。按照二阶段交叉设计的方法将入选患者随机分入A、B两组。A组患者先进行45°半坐卧位膀胱压力容积测定(Cystometry,CMG),再进行平卧位CMG,B组患者先进行平卧位CMG,再进行45°半坐卧位CMG。统计以下CMG参数:膀胱初始感觉容量、膀胱初始尿意容量、膀胱最大容量及逼尿肌过度活动发生率。结果与平卧位相比,45°半坐卧位对膀胱初始感觉容量、膀胱初始尿意容量、膀胱最大容量的测定无影响,且能提高逼尿肌过度活动的检出率(45°半坐卧位37.21%vs.平卧位11.63%,P=0.006)。结论 45°半坐卧位能代替平卧位作为CMG的检查体位。Objective To investigate influence of 45 degree semi-reclining position in cystometry in patients with be-nign prostatic hyPerplasia （BPH）. Methods Patients with BPH were enrolled according to the inclusion and exclusion crite-ria.They were divided into two groups randomly by two stage cross-over design.Group A took the 45 degree semi-reclining posi-tion firstly then supine position,while group B used a reverse order.CMG parameters included volume of first sensation to void （FS）,volume of first urge to void （FU）,maximum cystometric capacity （MCC）and detrusor overactivity （DO）. Results 45 degree semi-reclining position had no effect on volume of FS、volume of FU、MCC,and could increase the detection rate of DO （45 degree semi-reclining Position 37.21 % vs.supine 1 1 .63%,P =0.006）. Conclusion 45 degree semi-reclining position may be used as a substitution for supine in FC.

关 键 词：良性前列腺增生 膀胱压力容积测定 半坐卧位 

分 类 号：R697.3[医药卫生—泌尿科学]