Progress in the treatment of neurogenic bladder.docVIP

 PAGE \* MERGEFORMAT 22 Progress in the treatment of neurogenic bladder [Keywords:] treatment of neurogenic bladder Health Net News: The incidence of neurogenic bladder are many reasons, is common in spinal cord trauma, congenital dysplasia and central nervous system System lesions. The main purpose of the past, the treatment is to drain urine. In recent years, along with the development of medical technology to improve health The quality of living has become a therapeutic goal to pursue. To avoid damage to the urinary tract and lower urinary bladder filling pressure and control of Is currently the treatment of neurogenic bladder research. Are now working on neurogenic bladder detrusor hyperreflexia type The progress of treatment are summarized below. The past treatment of neurogenic bladder usually clean intermittent catheterization (CIC), the current method of multi - Used in early treatment of voiding dysfunction, for improving the prognosis of patients is critical. One pairs of spinal cord injury patients Treatment of retrospective survey found that about 8% of the patients ureteral reflux occurs in the four years that require further Treatment [1]. Simple catheterization has been replaced by other treatments or in combination with other therapeutic measures with a view to improve the treatment Effect. 1, drug treatment 1. Oxybutynin (oxybutynin): animal experiment confirmed that the drug has anti-cholinergic, spasm, and local anesthesia 1972, first used in the treatment of neurogenic bladder, has been more than 20 years, but the relaxation of bladder smooth muscle Mechanism of action remain unclear. oxybutynin drug delivery means more contentious, Mulcahy et al [2] earlier will be oxybutynin and CIC for the treatment of spina bifida patients, is serving oxybutynintid, CIC day 4 ~ 5 Times to catheterization interval of no leakage of urine as an effective standard, the effective rate was 84%. However, dry mouth, drowsiness, he