Yamashita Kaori, Kudo Miyuki, Ando Motoya, Ashida Hikaru, Shiseki Takahiro, Kubota Satoshi, Sakamoto Tetsushi, Inui Masashi
Department of Urology, Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan.
A Multidisciplinary Specialized Team, Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan.
Res Rep Urol. 2024 Oct 15;16:265-271. doi: 10.2147/RRU.S480444. eCollection 2024.
We analyzed the time course of postvoid residual urine volume for patients with cerebrovascular diseases in the acute phase.
A multidisciplinary specialized team measured postvoid residual urine volume of 65 patients (31 patients with cerebral infarction and 34 patients with cerebral hemorrhage) from September 2021 to August 2023. If a patient's postvoid residual urine volume was 100 mL or more, an indwelling urinary catheter was reinserted with or without medication, or clean intermittent catheterization was performed with or without medication. The multidisciplinary specialized team took repeated measurements of postvoid residual urine volume for a patient at every week's round until the postvoid residual urine volume was <100 mL. The cumulative incidence of the time interval between the onset of the cerebrovascular accident and the day of postvoid residual urine volume <100 mL was calculated as 1 + the Kaplan-Meier estimator.
In the Kaplan-Meier estimator, the median cumulative incidence of the period between the onset of a cerebrovascular accident and the day in which postvoid residual urine volume was <100 mL was 16.5 days and 15.5 days for patients with cerebral infarction and cerebral hemorrhage, respectively. No significant difference existed between the two groups in the time interval from the onset of a cerebrovascular accident to the day in which postvoid residual urine volume was <100 mL (The value from the Log-rank test was 0.845). The time interval between the onset of a cerebrovascular accident and the day in which postvoid residual urine volume was <100 mL was 75 days after the onset of both types of cerebrovascular accidents.
Postvoid residual urine volume of patients with cerebrovascular disease was expected to become <100 mL within 75 days after the onset of the cerebrovascular accident.
我们分析了急性期脑血管疾病患者排尿后残余尿量的时间进程。
2021年9月至2023年8月，一个多学科专业团队测量了65例患者（31例脑梗死患者和34例脑出血患者）的排尿后残余尿量。如果患者排尿后残余尿量为100 mL或更多，则在有或没有药物治疗的情况下重新插入留置导尿管，或者在有或没有药物治疗的情况下进行清洁间歇性导尿。多学科专业团队在每周查房时对患者的排尿后残余尿量进行重复测量，直到排尿后残余尿量<100 mL。脑血管意外发病至排尿后残余尿量<100 mL当天的时间间隔累积发生率计算为1 + Kaplan-Meier估计值。
在Kaplan-Meier估计中，脑梗死和脑出血患者从脑血管意外发病至排尿后残余尿量<100 mL当天的中位累积发生率分别为16.5天和15.5天。两组从脑血管意外发病至排尿后残余尿量<100 mL当天的时间间隔无显著差异（对数秩检验的P值为0.845）。两种类型的脑血管意外发病后，从发病至排尿后残余尿量<100 mL当天的时间间隔均为75天。
脑血管疾病患者排尿后残余尿量预计在脑血管意外发病后75天内降至<100 mL。
