尿道外括约肌牵张治疗神经源性膀胱临床观察.pdfVIP

摘要 ABSTRACT Background ： Neurogenic bladder is refers to voiding dysfunction caused by damage of the central or peripheral nervous injury (i.e., the urine storage and / or voiding dysfunction). Neurogenic bladder, as one of the common complications of rehabilitation medicine, can be caused by trauma, a variety of nervous system diseases, drugs and other reasons, especially in spinal cord injury. Voiding dysfunction is the common type of neurogenic bladder. The main symptoms of voiding dysfunction were dysuria, increased residual urine, hydronephrosis and renal function damage caused by the increase in bladder pressure and the drop in bladder compliance, and eventually leading to renal failure. The result can not only affect the rehabilitation therapy effect of patients, extend the patients hospital stay, increase the medical costs, but also seriously affect the patients quality of life and even be life – threatening. Statistics show that renal failure and urinary tract infection is the most common cause of death in patients with spinal cord injury in china. Therefore, improving the patient urine storage and / or symptoms of voiding dysfunction is particularly important to increase the effect of rehabilitation therapy, shorten the time of hospitalization, reduce the medical cost, enhance the communication with family and social confidence and improve their quality of life. The primary goal of rehabilitation therapy is to prevent urine reflux, reduce the damage of renal function and improve the quality of life by the use of appropriate urinary drainage. The urinary drainage can make the bladder has emptying ability