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題 名 | 糖尿病患者排尿障礙之臨床研究=Clinical Studies of Voiding Dysfunction among Asymptomatic Diabetic Subjects |
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作 者 | 畢柳鶯; 蔡素如; 黃建寧; 蔡明妙; 賴雅純; | 書刊名 | 復健醫學會雜誌 |
卷 期 | 27:4 1999.12[民88.12] |
頁 次 | 頁207-216 |
分類號 | 415.668 |
關鍵詞 | 糖尿病; 糖尿病膀胱病變; 排尿障礙; 尿流速檢查; 超音波檢查; Diabetes mellitus; Diabetic cystopathy; Voiding dysfunction; Uroflowmetry; Ultrasonography; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究對研究組85位糖尿病患者及對照組20位健康受測者施予尿流速檢查及膀胱 超音波檢測殘尿量,結果糖尿病患者中51位(60%)有排尿障礙,其中殘尿量大於50ml者23位 (27 % )。排尿正常組、排尿障礙組及對照組同時也接受血液檢查、深呼吸心電圖及肢體振 動感應測驗。三組間年齡分佈無統計上差異,排尿障礙組發病期間比排尿正常組長 (8.2 ± 5.3 年與 6.0 ± 4.4 年,P<0.05),兩組血中 HbAlc 濃度沒有統計差異。三組間解尿量及 膀胱容量沒有統計差異, 排尿障礙組之殘尿量比對照組及排尿正常組高 (53 ± 49 與 20 ± 13,21 ± 13 ml, P<0.001),最高流速時段、排尿時間皆比他兩組長 (10.5 ± 7.6 與 6.6 ± 3.6, 6.6 ± 3.4 sec; 36.5 ± 16.2 與 21.4 ± 8.8, 22.6 ± 9.4 sec, P<0.001)。 糖尿病患者男性發生排尿障礙之機率比女性高 (p<0.05)。深呼吸心電圖檢查顯 示有自主神經病患者,其與排尿障礙之發生率並無統計上差異 (P=0.75)。 足部振動感覺異 常顯示有周邊感應神經病患者,其排尿障礙發生率較高 (p<0.01)。 手指振動感應異常與排 尿障礙之發生率則無統計上之差異 (p=0.11)。 利用非侵入性的尿流速檢查及膀胱超音波檢 測殘尿量, 發現自覺沒有泌尿問題的糖尿病患者中有高達 60 %的患者有排尿障礙, 且有 27 %已經有高殘尿量現象。 其危險因子包括男性,糖尿病發病期間較長,足部振動感覺異 常者。建議糖尿病患者應定期監測排尿功能,以期及早診斷及治癒,避免嚴重併發症之發生 。(中華復健醫誌 1999;27(4):207-216)。 |
英文摘要 | Uroflowmetry and ultrasonic residual urine measurements had been done to 85 urologically asymptomatic diabetic patients and 20 control subjects. The prevalence of voiding dysfunction was 60% (51/85), and increased residual urine was found in 27% (23/85) of diabetic patients. The abnormal findings included increased residual urine (23/85), interrupted urine stream (9/85), voiding with abdominal strain (31/85), low flow rate (28/85), and enlarged bladder capacity (6/85). The group with voiding dysfunction had lower maximal and average flow rate, longer voiding time, and larger residual urine amount than the diabetic patients with normal voiding function and the healthy controls. The voiding volume and bladder capacity did not differ significantly in the three groups. The prevalence of voiding dysfunction was higher in men than in women (P=0.02). The group with voiding dysfunction had longer duration of diabetes than the group with normal voiding function (P<0.05), in contrast, there was no dince in serum HbA1c level between these two groups. The presence of voiding dysfunction was strongly associated with peripheral neuropathy in feet (P<0.01), however, it was not associated with peripheral neuropathy in arms or cardiac autonomic neuropathy. Authors suggested that all patients with long-standing diabetes should have non-invasive urologic screening tests for evaluation of voiding function and given voiding instructions to avoid urine retention, urinary tract infection or irreversible renal dame. (J Rehab Med Assoc ROC 1999; 27(4): 207 - 216 ) |
本系統中英文摘要資訊取自各篇刊載內容。