自主神经系统功能障碍是否会影响尿路喷射多普勒波形形成,在患有神经性膀与脊髓损伤相关的患者中?
İlkay Karabay1, Bilge Yılmaz1, Merve Örücü Atar1
1Department of Physical Medicine and Rehabilitation, University of Health Sciences, Gaziler Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey.
The journal of spinal cord medicine
|October 6, 2025
概括
在脊髓损伤 (SCI) 患者中,自主神经系统功能障碍与单相尿道喷射多普勒波形 (UJDW) 类型无相关性. 这表明单相JUDW不是SCI个体中ANS功能障碍的可靠指标.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 神经学 神经学
背景情况:
- 脊髓损伤 (SCI) 可以导致自主神经系统 (ANS) 功能障碍.
- 这种功能障碍可能会影响尿道喷射多普勒波形 (UJDW) 模式.
研究的目的:
- 在SCI患者中确定UJDW类型.
- 评估影响 UJDW 类型的因素.
- 检查ANS功能障碍对UJDW类型的间接影响.
主要方法:
- 横截面研究比较20名SCI患者与24名健康对照.
- 尿道多普勒超声波 (USG) 评估了JUDW和膀壁厚度.
- 膀和腹部压力是在USG后记录的.
主要成果:
- 单相和双相模式是SCI患者常见的UJDW类型.
- 单相波的患病率在SCI组显著更高 (p=0.001).
- 双相波在SCI中更为普遍,具有下胸部病变 (≤T7).
结论:
- 在脊髓损伤的个体中,单相 UJDW 模式更为频繁.
- 研究结果表明,单相JJDW并不是SCI中自主神经系统功能障碍的迹象.
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