Urodynamic effect of vibegron on neurogenic lower urinary tract dysfunction in individuals with spinal cord injury: A retrospective study

Urodynamic effect of vibegron on neurogenic lower urinary tract dysfunction in individuals with spinal cord injury: A retrospective study
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Vibegron 对脊髓损伤个体神经源性下尿路功能障碍的尿动力学影响:一项回顾性研究

DOI:
10.1038/s41393-022-00766-1
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发表时间:
2022
期刊:
影响因子:
2.2
通讯作者:
Uemura Osamu
Uemura Osamu
中科院分区:
医学3区
文献类型:
--
作者:
Matsuda Kyohei;Teruya Koji;Uemura Osamu

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研究设计:回顾性研究。目的探讨维必隆对脊髓损伤患者尿动力学参数的影响。日本村山医疗中心国立医院组织。方法回顾性分析31例脊髓损伤后1年内的尿动力学参数,这些患者在2018年12月至2020年12月期间,根据尿动力学研究(UDS)被诊断为神经源性下尿路功能障碍(NLUTD),并给予维比格仑治疗。治疗标准如下:膀胱容量<200 mL,膀胱顺应性<20 mL/cmH2O,和/或首次UDS时存在逼尿肌过度活动。我们比较了vibegron治疗前后的尿动力学数据。结果vibegron使最大膀胱容量(MCC)(中位数从185.0增加到340.0 mL,P= 0.001)和膀胱顺应性(中位数从8.3增加到20.0 mL/cmH2O,P< 0.001)增加。结论vibegron治疗可改善NLUTD和SCI患者的膀胱容量和膀胱顺应性。
Study designA Retrospective study.ObjectivesTo investigate the effects of vibegron on urodynamic parameters of individuals with spinal cord injury (SCI).SettingThe National Hospital Organization, Murayama Medical Center, Japan.MethodsWe retrospectively analyzed the urodynamic parameters of 31 individuals with SCI within one year after injury, who were diagnosed with neurogenic lower urinary tract dysfunction (NLUTD) according to a urodynamic study (UDS), and prescribed vibegron between December 2018 and December 2020. Treatment criteria were as follows: cystometric capacity of <200 mL, bladder compliance of <20 mL/cmH2O, and/or presence of detrusor overactivity in the first UDS. We compared urodynamic data before and after vibegron treatment.ResultsVibegron administration increased the maximum cystometric capacity (MCC) (median, from 185.0 to 340.0 mL,P= 0.001), bladder compliance (median, from 8.3 to 20.0 mL/cmH2O,P< 0.001).ConclusionVibegron therapy improved the bladder capacity and bladder compliance of individuals with NLUTD and SCI.
脊髓损伤中的神经源性膀胱。
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