Soler J M, Denys P, Game X, Ruffion A, Chartier-Kastler E
Centre de médecine physique et de réadaptation du cap Peyrefitte, Cerbère, France.
Prog Urol. 2007 May;17(3):622-8. doi: 10.1016/s1166-7087(07)92378-7.
Anal incontinence and gastrointestinal disorders are one of the major causes of impaired quality of life in patients with neurological disease. Patients are very often too embarrassed to spontaneously talk about these problems and problems of chronic constipation can lead to microbial maceration, a known risk factor for urinary tract infection. In this article, the authors review the physiology of defecation and describe the main disorders observed in the various neurological diseases and their management.
肛门失禁和胃肠功能紊乱是神经疾病患者生活质量受损的主要原因之一。患者常常因过于尴尬而不愿主动谈及这些问题，而慢性便秘问题可能导致微生物浸渍，这是尿路感染的一个已知风险因素。在本文中，作者回顾了排便生理，并描述了在各种神经疾病中观察到的主要病症及其管理方法。
