医药前沿
醫藥前沿
의약전연
Yiayao Qianyan
2015年
30期
181-182
,共2页
苏义基%毛容秋%张莉%陈莹%江帆%袁丽秀%李丽芳
囌義基%毛容鞦%張莉%陳瑩%江帆%袁麗秀%李麗芳
소의기%모용추%장리%진형%강범%원려수%리려방
脊髓损伤%膀胱测压%自主神经反射不良
脊髓損傷%膀胱測壓%自主神經反射不良
척수손상%방광측압%자주신경반사불량
Spinal cord injury%Autonomic dysreflexia%Cystometry
目的：分析脊髓损伤患者膀胱测压时无症状自主神经反射不良的高危因素。方法：收集在广西医科大学第一附属医院康复医学科就医的101例S C I患者，进行膀胱测压检查，统计出无症状自主神经反射不良的发生率及高危因素。结果：年龄＞60岁组的O R值、回归系数和P值分别为0.14、-1.98、0.13，损伤平面≥T6组的O R值、回归系数和P值分别为27.67、3.32和0.01，合并尿路感染组的OR值、回归系数和P值分别为4.16、1.43和0.05，合并高血压病组的OR值、回归系数和P值分别为8.60、2.15和0.05。结论：损伤平面≥T6、尿路感染及高血压病为膀胱测压时无症状自主神经反射不良的高危因素。
目的：分析脊髓損傷患者膀胱測壓時無癥狀自主神經反射不良的高危因素。方法：收集在廣西醫科大學第一附屬醫院康複醫學科就醫的101例S C I患者，進行膀胱測壓檢查，統計齣無癥狀自主神經反射不良的髮生率及高危因素。結果：年齡＞60歲組的O R值、迴歸繫數和P值分彆為0.14、-1.98、0.13，損傷平麵≥T6組的O R值、迴歸繫數和P值分彆為27.67、3.32和0.01，閤併尿路感染組的OR值、迴歸繫數和P值分彆為4.16、1.43和0.05，閤併高血壓病組的OR值、迴歸繫數和P值分彆為8.60、2.15和0.05。結論：損傷平麵≥T6、尿路感染及高血壓病為膀胱測壓時無癥狀自主神經反射不良的高危因素。
목적：분석척수손상환자방광측압시무증상자주신경반사불량적고위인소。방법：수집재엄서의과대학제일부속의원강복의학과취의적101례S C I환자，진행방광측압검사，통계출무증상자주신경반사불량적발생솔급고위인소。결과：년령＞60세조적O R치、회귀계수화P치분별위0.14、-1.98、0.13，손상평면≥T6조적O R치、회귀계수화P치분별위27.67、3.32화0.01，합병뇨로감염조적OR치、회귀계수화P치분별위4.16、1.43화0.05，합병고혈압병조적OR치、회귀계수화P치분별위8.60、2.15화0.05。결론：손상평면≥T6、뇨로감염급고혈압병위방광측압시무증상자주신경반사불량적고위인소。
ObjectiveTo determine the risk factors of silent autonomic dysreflexia in patients with spinal cord injury during cystometry.MethodsWe collected 101 cases of SCI patients. The incidence and risk factors of asymptomatic dysreflexia were analyzed during cystometry.ResultsUsing Logestic regression analysis,OR values,regression coefficients and P values in Age> 60 years of age were 0.14,-1.98 and 0.13; those in the level of injury ≥T6 were 27.67,3.32 and 0.01;those in urinary tract infection were 4.16,1.43 and 0.05;those in hypertension were 8.60,2.15 and 0.05.ConclusionRisk factors of autonomic dysreflexia in patients with spinal cord injury during cystometry is the level of injury ≥T6, urinary tract infections and hypertension.
