切换至 "中华医学电子期刊资源库"

中华老年骨科与康复电子杂志 ›› 2019, Vol. 05 ›› Issue (04) : 238 -244. doi: 10.3877/cma.j.issn.2096-0263.2019.04.011

所属专题: 文献

综述

脊髓损伤神经源性膀胱临床评估及治疗的研究进展
侯艳1,()   
  1. 1. 067000 承德市中心医院骨二科
  • 收稿日期:2019-01-21 出版日期:2019-08-05
  • 通信作者: 侯艳
  • 基金资助:
    河北省承德市科技支撑计划项目(201701A022)

Advances in clinical evaluation and treatment of neurogenic bladder in spinal cord injury

Yan Hou1,()   

  1. 1. Department of Orthopaedics, Chengde Central Hospital, Shuangqiao District, Chengde 067000, China
  • Received:2019-01-21 Published:2019-08-05
  • Corresponding author: Yan Hou
引用本文:

侯艳. 脊髓损伤神经源性膀胱临床评估及治疗的研究进展[J/OL]. 中华老年骨科与康复电子杂志, 2019, 05(04): 238-244.

Yan Hou. Advances in clinical evaluation and treatment of neurogenic bladder in spinal cord injury[J/OL]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2019, 05(04): 238-244.

脊髓损伤患者经常合并有不同程度的神经源性膀胱症状,由此产生的各种泌尿系统并发症最终可能会导致肾功能衰竭,甚至死亡,不断的优化脊髓损伤神经源性膀胱患者的康复护理等治疗措施,对于提高患者生存质量,降低患者远期的死亡率,有重要的临床和社会意义。本文通过回顾文献,首先总结了神经源性膀胱在脊髓损伤不同阶段的表现,介绍了神经源性膀胱的临床评估,并详细概述了该类患者保守治疗,康复护理及手术治疗等措施,以便为此类患者的诊治提供参考。

Patients with spinal cord injury have different degrees of neurogenic bladder symptoms, resulting in various complications of urinary system, which can subsequently lead to renal failure and even death. Therefore, it is important to optimize rehabilitation and treatment for patients with neurogenic bladder induced by spinal cord injury, to improve life quality and reduce long-term mortality. In this article we did a literature review study to summarize the changes of neurogenic bladder, highlight the matters should be paid attention to in the clinical evaluation and diagnosis of neurogenic bladder, and eventually make a detailed overview of conservative treatment, rehabilitation care, surgical treatment and other issues, in order to provide reference for the diagnosis and treatment of such patients.

1
易超然.湖南省261例脊髓损伤住院患者流行病学调查分析[D].衡阳:南华大学, 2015.
2
Jazayeri SB, Bejyi S, Shokraneh F, et a1. Incidence of traumatic spinal cord injury worldwide: a systematic review[J]. Eur Spine J, 2015, 24(5): 905-918.
3
王磊,周娟,石秀秀,等.创伤性脊髓损伤的相关因素研究[J].中国骨与关节杂志, 2017, 6(2): 139.
4
Myers JB, Mayer EN, Lenherr S, et al. Management options for sphincteric deficiency in adults with neurogenic bladder. Transl Androl Urol, 2016, 5(1): 145-157.
5
Hagen EM, Rekand T. Management of bladder dysfunction and satisfaction of life after spinal cord injury in Norway. J Spinal CordMed, 2014, 37(3): 310-316.
6
Ersoz M, Koyuncu E, Akyuz M, et al. Shifting to 4 x 1 intermittent catheterization without an early follow-up urodynamic study is possible in most patients with subacute spinal cord injury[J]. J Spinal Cord Med, 2016, 39(3): 307-310.
7
何晓庆,马燕兰.脊髓损伤神经源性膀胱患者间歇导尿的应用进展[J].中华现代护理杂志, 2017,23(29): 3795-3799.
8
蒋娜娜,王文学,郑伟,等.创伤性脊髓损伤康复治疗最佳介入时间窗观察[J].医学信息,2018,31(7):86.
9
刘继生,张泓,黄桂兰,等.针刺治疗脊髓损伤细胞信号转导机制的研究与思考[J].中国针灸, 2017, 37(6): 680-684.
10
赵蕊,马燕兰.脊髓损伤神经源性膀胱患者清洁间歇导尿研究进展[J].护理管理杂志,2017,17(5):356-358.
11
Panicker JN, Fowler CJ, Kessler TM. Lower urinary tract dysfunction in the neurological patient: clinical assessment and management[J]. Lancet Neurol, 2015, 14(7): 720-732.
12
胡丹,李莹,杨荆艳,等.儿童神经源性膀胱尿动力学检查的技术控制[J].护理学杂志, 2005, 20(10): 21-22.
13
张秀琼,李思逸,黄嘉妮.尿动力学检查病人的护理[J].全科护理, 2013,11(3): 702-703.
14
廖利民,吴娟,鞠彦合,等.脊髓损伤患者泌尿系管理与临床康复指南[J].中国康复理论与实践, 2013, 19(4): 301-317.
15
Sunf-il H, Bum-suk L, Han ZA, et a1.Factors Related to the Occurrence of Urinary Tract Infection Following a Urodynamic Study in Patients With Spinal Cord Injury[J]. Annals of Rehabilitation Medicine, 2016, 40(4): 718-724.
16
沈峰,王惠芳.尿流动力学检查在胸腰段脊髓损伤神经源性膀胱输尿管返流评估中的意义[J].中华物理医学与康复杂志, 2015, 37(7): 528-530.
17
Cardenas D D, Mayo M E. Bacteriuria with fever after spinal cord injury[J]. Archives of Physical Medicine & Rehabilitation, 1987, 68(1):291-293.
18
De Ridder D J, Everaert K, Fernández L G, et al. Intermittent catheterisation with hydrophilic-coated catheters (SpeediCath) reduces the risk of clinical urinary tract infection in spinal cord injured patients: a prospective randomised parallel comparative trial[J]. European Urology, 2005, 48(6):991.
19
Gribble M J, Puterman M L. Prophylaxis of urinary tract infection in persons with recent spinal cord injury: a prospective, randomized, double-blind, placebo-controlled study of trimethoprim-sulfamethoxazole[J]. American Journal of Medicine, 1993, 95(2):141-152.
20
Maynard F M, Diokno A C. Urinary infection and complications during clean intermittent catheterization following spinal cord injury[J]. Journal of Urology, 1984, 132(5):943-946.
21
Morton S C, Shekelle P G, Adams J L, et al. Antimicrobial prophylaxis for urinary tract infection in persons with spinal cord dysfunction[J]. Archives of Physical Medicine & Rehabilitation, 2002, 83(1):129-138.
22
周芸,张金菊.综合护理对脊髓损伤后神经源性膀胱功能及心理状态的影响[J].中国现代医生, 2015, 53(18):145-148.
23
Hackler R H, Jr D J, Bunts R C. Changing concepts in the preservation of renal function in the paraplegic[J]. Journal of Urology, 1965, 94(2):107.
24
Furlan J. Autonomic dysreflexia: a clinical emergency [J]. J Trauma Acute Care Surg, 2013, 75(3): 496-500.
25
熊巍,苏跃,张军卫,等.脊髓损伤后植物神经反射异常的临床特点及防治措施[J].中同康复理论与实践,2018, 24(18): 1172-11 77.
26
Hou S, Rabchevsky A G. Autonomic consequences of spinal cord injury[J]. Comprehensive Physiology, 2014, 4(4):1419.
27
Liu C W, Attar K H, Gall A, et al. The relationship between bladder management and health-related quality of life in patients with spinal cord injury. [J]. Journal of Urology, 2010, 48(4):319-24.
28
中国康复医学会康复护理专业委员会.神经源性膀胱护理实践指南(2017年版)[J].护理学杂志2017,32(32):1-7.
29
Thietje R, Giese R, Pouw M, et al. How does knowledge about spinal cord injury-related complications develop in subjects with spinal cord injury? A descriptive analysis in 214 patients [J]. Spinal Cord, 2011, 49(1):43-48.
30
中国康复医学会康复护理专业委员会.神经源性膀胱护理指南(2011年版)(二)[J].中华护理杂志,2011,46(2):210-216.
31
李娟,单守勤,牟翔,等.间歇性导尿在治疗脊髓损伤患者泌尿系感染方面的应用[J].当代护士旬刊, 2015(8): 1-2.
32
Hossain MS,Rahman MA,Bowden JL,et al. Psychological and socioeconomic status,complications and quality of life in people with spinal cord injuries after discharge from hospital in Bangladesh: a cohort study [J]. Spinal Cord, 2016, 54 (6): 483- 489.
33
Johnston D, Ramakrishnan K, Garth B, et al. Early access to vocational rehabilitation for inpatients with spinal cord injury: A qualitative study of staff perceptions[J]. J Rehabil Med, 2016, 48 (9):776-780.
34
徐娟.下尿路测压在脊髓损伤神经源性膀胱分期护理中的应用研究[J].护理研究2016, 30(10):3565-3567.
35
付光,吴娟,丛慧玲等.不同剂量A型肉毒素经尿道膀胱壁注射治疗脊髓损伤患者神经源性尿失禁的疗效对比[J].中华医学杂志,2015,95(48):3920-3923.
36
Lin H, Hou C, Zhen X, et al. Clinical study of reconstructed bladder innervation below the level of spinal cord injury to produce urination by Achilles tendon-to-bladder reflex contractions.[J]. Yearbook of Urology, 2010(5):199-200.
37
Stenzl A, Strasser H, Klima G, et al. Reconstruction of the lower urinary tract using autologous muscle transfer and cell seeding: current status and future perspectives.[J]. World Journal of Urology, 2000, 18(1):44-50.
38
Chancellor MB; Rivas DA; Linsenmeyer T; Abdill CA; Ackman CF; Appell RA; Bennett J; Binard J; Boone TB; Chetner MP. Multicenter trial in North America of UroLume urinary sphincter prosthesis.[J]. Journal of Urology, 1994, 152(3):924-930.
39
Rivas D A, Chancellor M B, Bagley D. Prospective comparison of external sphincter prosthesis placement and external sphincterotomy in men with spinal cord injury.[J]. Journal of Endourology, 1994, 8(2):89-93.
40
Manack A, Motsko S P, Haag-Molkenteller C, et al. Epidemiology and healthcare utilization of neurogenic bladder patients in a us claims database[J]. Neurourology & Urodynamics, 2011, 30(3):395-401.
41
Noreau L, Noonan VK, Cobb J, Leblond J, Dumont FS. Spinal cord injury community survey: a national, comprehensive study to portray the lives of Canadians with spinal cord injury. Top Spinal Cord Inj Rehabil. 2014;20(4):249–264.
42
Engkasan JP, Ng CJ, Low WY. Factors influencing bladder management in male patients with spinal cord injury: a qualitative study. Spinal Cord. 2014,52(2):157–162.
43
Higuchi TT, Granberg CF, Fox JA, Husmann DA. Augmentation cystoplasty and risk of neoplasia: fact, fiction and controversy. J Urol. 2016,184(6):2492–2496.
44
Panicker J N, De S M, Fowler C J. Rehabilitation in practice: neurogenic lower urinary tract dysfunction and its management[J]. Clinical Rehabilitation, 2010, 24(7):579.
45
Klausner A P, Steers W D. The neurogenic bladder: an update with management strategies for primary care physicians[J]. Medical Clinics of North America, 2011, 95(1):111-20.
46
Mahfouz W, Corcos J. Management of detrusor external sphincter dyssynergia in neurogenic bladder[J]. European Journal of Physical & Rehabilitation Medicine, 2011, 47(4):639-50.
47
Nosseir M, Hinkel A, Pannek J. Clinical usefulness of urodynamic assessment for maintenance of bladder function in patients with spinal cord injury[J]. Neurourology & Urodynamics, 2017, 26(2):228-233.
48
Wyndaele J J, Brauner A, Geerlings S E, et al. Clean intermittent catheterization and urinary tract infection: review and guide for future research[J]. Bju International, 2012, 110(11c):E910-E917.
49
Mukai S,Shigemura K,Nomi M,et a1.Retrospective study for risk factors for febrile UTI in spinal cord injury patients with routine concomitant intermittentcatheterization in outpatient settings[J]. Spinal Cord,2016,54(1):69—72.
50
郝定均,何立民,袁福镛,等.脊髓损伤患者后期并发症及其相关因素探讨[J].中国脊柱脊髓杂志, 2005, 15(5):267-270.
51
王英,唐相君,彭湘,等.自家间歇性清洁导尿在脊髓损伤后神经源性膀胱中的应用[J].世界最新医学信息文摘:连续型电子期刊, 2015, 15(15):85-86.
52
杜小芳,王芳,王延荣,等.脊髓损伤患者间歇性导尿预防泌尿系统感染的效果分析[J].中华医院感志,2016,26(5):1108-1110.
53
李文勤.截瘫并发尿路结石48例影像诊断分析[J].中国民康医学, 2001, 13(3):181-181.
54
Park Y I, Linsenmeyer T A. A method to minimize indwelling catheter calcification and bladder stones in individuals with spinal cord injury[J]. Journal of the American Paraplegia Society, 2011, 24(2):105-108.
55
Elliott S, Krassioukov A. Malignant autonomic dysreflexia in spinal cord injured men[J]. Spinal Cord, 2016, 44(6):386.
56
Altaweel W, Corcos J. Pathophysiology of autonomic dysreflexia. In: Corcos J, Schick E, editors. Textbook of the Neurogenic Bladder.London, UK: Martin Dunitz, Taylor and Francis Group; 2004.
57
欧阳好,张小芒,罗军.康复护理训练对神经源性膀胱功能障碍的影响[J].中国伤残医学, 2015(3):49-50.
[1] 史学兵, 谢迎东, 谢霓, 徐超丽, 杨斌, 孙帼. 声辐射力弹性成像对不可切除肝细胞癌门静脉癌栓患者放射治疗效果的评价[J/OL]. 中华医学超声杂志(电子版), 2024, 21(08): 778-784.
[2] 张晓宇, 殷雨来, 张银旭. 阿帕替尼联合新辅助化疗对三阴性乳腺癌的疗效及预后分析[J/OL]. 中华乳腺病杂志(电子版), 2024, 18(06): 346-352.
[3] 易柏成, 李旭光, 王容容, 王新璇. 数字化3D打印导板应用于上前牙钙化根管治疗2例[J/OL]. 中华口腔医学研究杂志(电子版), 2024, 18(06): 385-390.
[4] 李华志, 曹广, 刘殿刚, 张雅静. 不同入路下行肝切除术治疗原发性肝细胞癌的临床对比[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 52-55.
[5] 陈浩, 王萌. 胃印戒细胞癌的临床病理特征及治疗选择的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 108-111.
[6] 梁孟杰, 朱欢欢, 王行舟, 江航, 艾世超, 孙锋, 宋鹏, 王萌, 刘颂, 夏雪峰, 杜峻峰, 傅双, 陆晓峰, 沈晓菲, 管文贤. 联合免疫治疗的胃癌转化治疗患者预后及术后并发症分析[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 619-623.
[7] 刘柏隆, 周祥福. 压力性尿失禁阶梯治疗的项目介绍[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 125-125.
[8] 刘柏隆. 女性压力性尿失禁阶梯治疗之手术治疗方案选择[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 126-126.
[9] 袁园园, 岳乐淇, 张华兴, 武艳, 李全海. 间充质干细胞在呼吸系统疾病模型中肺组织分布及治疗机制的研究进展[J/OL]. 中华细胞与干细胞杂志(电子版), 2024, 14(06): 374-381.
[10] 中华医学会器官移植学分会. 肝移植术后缺血性胆道病变诊断与治疗中国实践指南[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 739-748.
[11] 陈伟杰, 何小东. 胆囊癌免疫靶向治疗进展[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 763-768.
[12] 国文凯, 纪鹏程, 毕靖茹, 谢院生. IgA 肾病的十种治疗措施[J/OL]. 中华肾病研究电子杂志, 2024, 13(06): 327-333.
[13] 帖璇, 苏晓乐, 王利华. 抗中性粒细胞胞质抗体相关性血管炎治疗研究进展[J/OL]. 中华肾病研究电子杂志, 2024, 13(06): 345-351.
[14] 崔军威, 蔡华丽, 胡艺冰, 胡慧. 亚甲蓝联合金属定位夹及定位钩针标记在乳腺癌辅助化疗后评估腋窝转移淋巴结的临床应用价值探究[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 625-632.
[15] 王誉英, 刘世伟, 王睿, 曾娅玲, 涂禧慧, 张蒲蓉. 老年乳腺癌新辅助治疗病理完全缓解的预测因素分析[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 641-646.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?