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引用次数: 0
摘要
目的:了解类风湿关节炎患者血尿及下尿路问题的发生率。方法:横断面前瞻性研究于2022年8月1日至2023年3月3日在印度医学院Tando Mohammad Khan风湿病学系进行。经书面同意和知情同意后,共选择229例患者;收集了人口统计细节。填写布里斯托尔女性下尿路问卷(BFLUTS),要求所有男性参与者进行前列腺超声扫描,并收集新鲜排空的中游尿液进行显微镜下血尿检查。结果:本组患者下尿路症状(LUTS)发生率为77.3%,显微镜下血尿发生率为34.5%。尿路综合征的主要症状为夜尿症(69%)、膀胱疼痛(35.4%)、如厕前漏尿(40.6%)、尿失禁频次(24.5%)、尿路失禁(27.9%)、因尿路症状影响性生活(22.7%)、避免无厕所情况(30.1%)、生活整体受到干扰(32.8%)。结论:下尿路问题和显微镜下血尿在两性中都很常见,RA的严重程度会增加LUTS并影响生活质量。
Lower urinary tract symptoms and hematuria in Rheumatoid arthritis (LUTH-RA) study.
Objective: To determine the frequency of hematuria and lower urinary tract problems in rheumatoid arthritis cohort.
Method: This cross sectional prospective study was conducted at department of Rheumatology Indus Medical College Tando Mohammad Khan from August 1, 2022 to March 3, 2023. Total 229 patients were selected after written and informed consent; demographic details were taken. Bristol Female Lower Urinary Tract Questionaries' (BFLUTS) was filled and all male participants were asked for ultrasound scan of prostate and freshly voided midstream urine was collected for microscopic hematuria.
Results: In this study the prevalence of Lower Urinary Tract Symptoms (LUTS) was (77.3%) and microscopic hematuria (34.5%). Major symptoms of LUTS were: nocturia (69%), bladder pain (35.4%), leaking before going to toilet (40.6%), frequency of incontinence (24.5%), nocturnal incontinence (27.9%), sex life spoiled due to urinary symptoms (22.7%), avoid situation where no toilet (30.1%) and overall interference of life (32.8%) cases. A significant association of DAS-28 with LUTS and microscopic hematuria was seen (p<0.01).
Conclusion: Lower urinary tract problems and microscopic hematuria are common in both genders, and severity of RA, increases LUTS and affects quality of life.
期刊介绍:
It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad.
Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.