堿化利多卡因聯(lián)合肝素膀胱灌注治療膀胱疼痛綜合征間質(zhì)性膀課件

1、 國(guó)內(nèi)尚無(wú)明確統(tǒng)計(jì)資料。國(guó)內(nèi)尚無(wú)明確統(tǒng)計(jì)資料。 nNIDDK于于 1987年制定了的診斷標(biāo)準(zhǔn)年制定了的診斷標(biāo)準(zhǔn) n 同時(shí)滿足以下兩個(gè)條件同時(shí)滿足以下兩個(gè)條件 1膀胱區(qū)疼痛或尿頻尿急膀胱區(qū)疼痛或尿頻尿急 2典型的典型的Hunners潰瘍，或腎絲球狀出血點(diǎn)（潰瘍，或腎絲球狀出血點(diǎn)（10個(gè)出血點(diǎn)個(gè)出血點(diǎn)/每象每象 限限, 在在3個(gè)象限以上，個(gè)象限以上，麻醉麻醉下水?dāng)U張時(shí)）下水?dāng)U張時(shí)） 治治 療療 The OLeary-Sant IC Indices4 Problem Index During the past month, how much has each of the following bee

2、n a problem for you: Q1: Frequent urination during the day? Q2: Getting up at night to urinate? Q3: Need to urinate with little warning? Q4: Burning, pain, discomfort or pressure in your bladder? _ no problem = 0 _ very small problem = 1 _ small problem = 2 _ medium problem = 3 _ big problem = 4 Tot

3、al score: _/16 Symptom Index During the past month, how much has each of the following been a problem for you: Q1: Felt a strong need to urinate with little or no warning? _ not at all = 0 _ less than 1 time in 5 = 1 _ less than half the time = 2 _ about half the time = 3 _ more than half the time =

4、 4 _ almost always = 5 Q2: Urinate less than 2 hours after urinating? _ not at all = 0 _ less than 1 time in 5 = 1 _ less than half the time = 2 _ about half the time = 3 _ more than half the time = 4 _ almost always = 5 Q3: Get up at night to urinate? _ not at all = 0 _ 1 time = 1 _ 2 times = 2 _ 3

5、 times = 3 _ 4 times = 4 _ 5 times = 5 Q4: Experienced pain or burning in your bladder? _ not at all = 0 _ a few times = 1 _ fairly often = 2 _ almost always = 3 _ always = 4 Total score: _/19 215215例患者得到完全隨訪，隨訪時(shí)間例患者得到完全隨訪，隨訪時(shí)間318318個(gè)月，平均個(gè)月，平均 9.49.4個(gè)月。根據(jù)個(gè)月。根據(jù)OLeary-Sant ICOLeary-Sant IC問(wèn)卷表數(shù)據(jù)比較，治療問(wèn)卷

6、表數(shù)據(jù)比較，治療1 1 個(gè)月后個(gè)月后ICSIICSI 平均值降為平均值降為(10.3(10.34.1)4.1)分，分，ICPIICPI平均值降為平均值降為 (6.6(6.62.8)2.8)分；治療分；治療3 3個(gè)月后個(gè)月后 ICSIICSI 平均值降為平均值降為(6.5(6.53.6)3.6) 分，分，ICPIICPI平均值降為平均值降為(3.2(3.22.0)2.0)分。分。 治療前后治療前后OLeary-Sant評(píng)分比較評(píng)分比較 n 治療治療1 1、3 3個(gè)月后下腹酸脹個(gè)月后下腹酸脹/ /疼痛的改善率分別為疼痛的改善率分別為29.8%29.8% 和和71.3%71.3%，夜尿增多的改善率分別為，夜尿增多的改善率分別為21.6%21.6%和和65.3%65.3%，尿頻，尿頻 尿急的改善相對(duì)不明顯，分別為尿急的改善相對(duì)不明顯，分別為9.6 %9.6 %和和22.8%22.8%。 治療前后治療前后IC/PBS各臨床癥狀改善情況各臨床癥狀