| 张彬,邓罗义,李青.脊髓损伤后神经源性膀胱的机制及管理研究进展[J].中国康复,2026,41(1):59-64 |
| 脊髓损伤后神经源性膀胱的机制及管理研究进展 |
| Research progress on the mechanisms and management of neurogenic bladder after spinal cord injury |
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| DOI：10.3870/zgkf.2026.01.010 |
| 中文关键词: 脊髓损伤 神经源性膀胱 发病机制 管理 |
| 英文关键词: spinal cord injury neurogenic bladder mechanisms management |
| 基金项目:国家自然科学基金项目（82160249）；贵州省科技计划项目［黔科合成果-LC（2024）072］ |
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| 中文摘要: |
| 神经源性膀胱（NB）是脊髓损伤（SCI）中一种常见的并发症。这类患者常出现诸多泌尿系的并发症，如尿路感染、尿失禁、肾积水等，进一步引发肾衰竭，导致患者再次住院，增加患者经济的压力，甚至对患者的生命健康构成威胁。NB的管理原则主要包括：减少或避免尿路感染、结石形成等并发症，恢复正常膀胱容量，增加膀胱顺应性，使膀胱正常排空，恢复低压储尿功能，保护上尿路，减轻尿失禁。SCI后发生NB的机制是多因素的，具有多种观点。本文通过对NB的发病机制及管理方法进行归纳和总结，来增加我们对SCI后NB机制及管理的认识，不仅能为研究者提供思路，还可提高临床医生对NB的管理水平。 |
| 英文摘要: |
| Neurogenic bladder (NB) is a common complication of spinal cord injury (SCI). Patients with NB often suffer from various urinary complications, such as urinary tract infections, urinary incontinence, hydronephrosis, etc., which may further lead to renal failure, cause re-hospitalization, increase the economic burden on patients, and even pose a threat to their life and health. The management principles of NB mainly include the following: reducing or avoiding complications such as urinary tract infections and stone formation, restoring normal bladder capacity, increasing bladder compliance, enabling normal bladder emptying, restoring low-pressure urine storage function, protecting the upper urinary tract, and alleviating urinary incontinence. The mechanism of NB after SCI is multifactorial and has multiple viewpoints. This article summarizes and concludes the pathogenesis and management methods of NB, enhancing our understanding of the mechanism and management of NB after SCI. It not only provides ideas for researchers but also improves the management level of NB for clinicians. |
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