45°半坐卧位对bph患者膀胱压力容积测定影响 word格式.docxVIP

The influence of 45 degree semi-reclining position in the cystometry in patients with benign prostatic hyperplasiaAbstract Background: Benign prostatic hyperplasia (BPH) is a disease with high morbidity in men of middle and old age.Urodynamics can help with the clinical diagnose and treatment significantly. Position is one of the most important factors. Correlation between position and Detrusor Overactivity have been reported by researchers at home and abroad .The International Continence Society suggest using supine position in Cystometry, however, position have to be changed in Pressure-Flow Study(standing for men, sitting for women).This change could not only cause to result deviation ,but also be harmful to clinical operation . 45 degree semi-reclining position is a position between supine and sitting .Using this “one-step ”position can not only avoid position changing but also readjusting of transducer ,so that we can reduce confounding factor, shorten procedure and time. The guideline of urodynamics at home have mention the use of 45 degree semi-reclining position in Cystometry ,however there is no systematic research about the influence to the reliability of Cystometry result at home and abroad . Objective: To investigate the influence of 45 degree semi-reclining position in Cystometry in patients with benign prostatic hyperplasia. Methods: Patients with benign prostatic hyperplasia were enrolled according to the inclusion and exclusion criteria. Patients enrolled were divided into two groups (A and B) randomly by Two Stage Cross-Over Design. Each patient continuously underwent CMG twice. The group A took the 45 degree semi-reclining position firstly then changed to the supine position, while the group B took the examinations contrarily.We analyze the initial Resting values for intravesical pressure、 Volume Of First Sensation 、Volume Of First Urge 、 Maximum Cystometric Capacity、 Detrusor Overactivity. Questionnaire about the preference was finish