经尿道膀胱电凝术联合高压氧治疗出血性放射性膀胱炎的疗效分析

来源 :中华航海医学与高气压医学杂志 | 被引量 : 0次 | 上传用户:lzbboyf
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:观察经尿道膀胱电凝术联合高压氧治疗出血性放射性膀胱炎的疗效。方法:选取山西省长治医学院附属和济医院2014年6月至2020年4月收治的76例出血性放射性膀胱炎患者作为研究对象,随机分为对照组和联合组,每组38例。对照组患者行经尿道膀胱出血点电凝术治疗,联合组患者在对照组基础上联合高压氧辅助治疗。比较2组患者临床疗效,评估尿流动力学指标,采用尿道综合征症状评分量表(USS)、膀胱过度活动症评分量表(OABSS)、膀胱炎症评分量表(ICSI)及疼痛视觉模拟量表(VAS)评估症状改善情况。结果:联合组患者临床疗效总有效率(94.74%,36/38)显著高于对照组(81.58%,31/38),差异有统计学意义(n P<0.05)。2组患者膀胱容量及排尿量较治疗前显著上升,最大排尿压明显下降,差异均有统计学意义(n P<0.05);且联合组膀胱容量、排尿量和最大排尿压均优于对照组,其中排尿量较对照组差异有统计学意义(n P<0.05)。2组患者USS评分下降,排尿、尿急和尿失禁次数减少,差异均有统计学意义(n P<0.05);且联合组USS、排尿次数、尿急和尿失禁评分均优于对照组,其中USS、排尿次数及尿急评分与对照组相比差异均有统计学意义(n P<0.05)。2组患者ICSI和VAS评分均较治疗前下降,且联合组显著低于对照组,差异均有统计学意义(n P<0.05)。n 结论:高压氧联合经尿道膀胱电凝术治疗出血性放射性膀胱炎疗效显著,能有效改善患者尿流动力学,降低USS、OABSS、ICSI及VAS评分,促进预后。“,”Objective:To observe the efficacy of transurethral electrocoagulation combined with hyperbaric oxygen in the treatment of hemorrhagic radiation cystitis.Methods:A total of 76 patients with hemorrhagic radiation cystitis admitted to Heji Hospital Affiliated to Changzhi Medical College of Shanxi Province from June 2014 to April 2020 were selected as research subjects and randomly divided into control group (n n=38) and combination group (n n=38). The patients in the control group were treated with transurethral electrocoagulation, and the patients in the combination group were treated with hyperbaric oxygen on the basis of the treatments in the control group. The clinical efficacies of the two groups were compared. The urodynamic indexes were evaluated by urethral syndrome score (USS), overactive bladder symptom score (OABSS), interstitial cystitis symptom score (ICSI), and visual analogue scale (VAS) for pain.n Results:After treatment, the total clinical effective rate of the combination group (94.74%, 36/38) was significantly higher than that of the control group (81.58%, 31/38), with statistically significant difference (n P<0.05). Compared with those before treatment, in both groups, the bladder capacity and micturition volume increased significantly, while maximum micturition pressure decreased significantly; all showing statistically significant differences (n P<0.05). Moreover, the improvements of bladder capacity, micturition volume, and maximum micturition pressure in the combination group were greater than those in the control group, among which the improvement of micturition volume in the combination group had statistically significant difference from that of the control group (n P<0.05). The USS score, the frequency of urination, and the occurrence of urgent urination and urinary incontinence in both groups decreased compared with those before treatment, all showing statistically significant differences; moreover, the combination group had better improvements in USS score, the frequency of urination, and the occurrence of urgent urination and urinary incontinence than the control group, among which the USS score, the frequency of urination, and the occurrence of urinary incontinence in the combination group had statistically significant differences from those in the control group (n P<0.05). After treatment, the ICSI and VAS scores in both groups decreased, and the two scores in the combination group were significantly lower than those in the control group, with statistically significant differences (n P<0.05).n Conclusion:Hyperbaric oxygen combined with transurethral electrocoagulation has a significant effect on hemorrhagic radiation cystitis, which can effectively improve the urodynamic properties of patients, reduce USS, OABSS, ICSI, and VAS scores, and promote the prognosis.
其他文献
会议
对于大学校园,提升校园效率,扩大校园功能,实现全面教育过程中的高效信息化是时代对我们的要求,也是我们教育技术人员永恒的追求。本文探讨如何凸显“数字化”的理念,实现对
期刊
诊断健康不仅可以通过医学器械来做,体质测试也被证明是诊断人体健康的有效方法之一,它不仅能够测出你的健康状况如何,还能够根据你的体质状况告诉你应该参加些什么运动,以及应该
会议
Early detection and treatment of cancer depends on developing highly sensitive and specific methods for targeting cancer cells. To do this, aptamers, which are
鸡西矿业集团公司张辰煤矿西三采区3
期刊
一身军大衣,一双破烂的运动鞋,他们脚步匆匆的,这是去往哪里?行走学校,新鲜吧?!什么是行走学校?教人走路的学校?一边走一边上课的学校?都不是!它是一所不留作业不考试,没有老
期刊
外商投资我基础设施享受税收优惠据有关方面报道,国家计委负责人日前宣布,国家将对投资于基础设施的外商给予信贷和税收支持。内容包括:─—对投资于农业开发、交通、能源等基础