Tirlapur S A, Khan K S
a Women's Health Research Unit, Queen Mary, University of London , London , UK.
b Barts Health NHS Trust, The Royal London Hospital , London , UK.
J Obstet Gynaecol. 2016;36(2):241-5. doi: 10.3109/01443615.2015.1060200. Epub 2015 Oct 14.
Current management of bladder pain syndrome (BPS) was evaluated through a prospective electronic questionnaire posted on three patient support groups and sent to all members on the British Society of Urogynaecology (BSUG) database. Methods of diagnosis and treatment were assessed. 133 patients and 69 clinicians participated in the survey. Patients reported their main symptom to be pain when their bladder was full in 80% (n = 107) and the most bothersome symptom was pelvic pain (22%, n = 29). 93% (n = 64) of clinicians made their diagnosis by history and cystoscopy. 78% (n = 54) of clinicians treated patients with amitriptyline and 75% (n = 52) by dietary modification while 77% (n = 102) of patients reported using simple analgesia, 74% (n = 98) dietary modification and 62% (n = 83) low-dose long-term antibiotics. There is wide variation in diagnostic methods and treatments of BPS used by clinicians and experienced by patients with no obvious consensus. National guidance is needed to help standardise care.
通过在三个患者支持小组发布并发送给英国妇科学会（BSUG）数据库中所有成员的前瞻性电子问卷，对膀胱疼痛综合征（BPS）的当前管理情况进行了评估。对诊断和治疗方法进行了评估。133名患者和69名临床医生参与了调查。患者报告称，80%（n = 107）的主要症状是膀胱充盈时疼痛，最困扰的症状是盆腔疼痛（22%，n = 29）。93%（n = 64）的临床医生通过病史和膀胱镜检查进行诊断。78%（n = 54）的临床医生用阿米替林治疗患者，75%（n = 52）通过饮食调整进行治疗，而77%（n = 102）的患者报告使用简单镇痛法，74%（n = 98）采用饮食调整，62%（n = 83）使用低剂量长期抗生素。临床医生使用的BPS诊断方法和治疗方法存在很大差异，患者的体验也各不相同，没有明显的共识。需要国家指南来帮助规范治疗。
