脊髓损伤后反射性膀胱患者逼尿肌压力的持续监测。

M. Thyberg, S. Gedda, P. Johansen, C. Lassvik, A. Spångberg, A. Engberg
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引用次数: 4

摘要

在脊髓损伤中,逼尿肌压力作为膀胱功能障碍的一个参数,与尿失禁和肾脏并发症有关。为了确定最大压力和逼尿肌收缩持续时间的个体内变化,在患有脊髓反射性膀胱的患者中,在16名患者的24小时生理充盈期间记录逼尿肌压力。在膀胱收缩之间,所有患者的逼尿肌压力均较低,表明膀胱顺应性较高。在收缩过程中,逼尿肌的最大压力及其持续时间在个体间和个体内都不同。然而,在个别患者中,最初12小时内的平均值与最后12小时的平均值相关。因此,一系列收缩的平均值似乎是每个患者的特征,并可用于描述脊髓反射性膀胱中的排尿压力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Continuous monitoring of detrusor pressure in patients with a reflex urinary bladder after spinal cord injury.
In spinal cord injury, the detrusor pressure, as a parameter of urinary bladder dysfunction, is related to incontinence and renal complications. In order to determine the intraindividual variation of maximum pressure and duration of detrusor contractions, in patients with a spinal reflex bladder, the detrusor pressure was registered during 24 hours of physiological filling in 16 patients. Between the bladder contractions the detrusor pressure was low in all patients, indicating high bladder complicance. During contractions the maximum detrusor pressure and its duration varied both inter- and intraindividually. In individual patients, however, mean values during the initial 12 hours correlated with mean values during the final 12 hours. Thus, mean values of a series of contractions appear to be characteristic of each patient and useful in describing the voiding pressure in spinal reflex bladder.
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