Eves Faith J, Rivera Natacha
Bruce W. Carter Veterans Affairs Medical Center, Miami, USA.
Home Healthc Nurse. 2010 Apr;28(4):230-41. doi: 10.1097/NHH.0b013e3181dc1bcb.
More than 250,000 persons in the United States live with spinal cord injury (SCI), and 10,000 to 12,000 new injuries occur each year. Of these spinal cord injured persons, 53% have tetraplegia, 46% have paraplegia, and less than 1% experience complete neurologic recovery. About 48% have complete injuries (i.e., full quadriplegia) and 52% have incomplete injuries (; ). Almost all persons with neurologic impairment related to SCI have voiding dysfunction. Urinary tract infections (UTIs) have long been problematic for those living with SCI. Once the leading cause of death, urinary complications remain the leading cause of morbidity and the most common infection in persons with SCI (). This article provides a brief overview of spinal cord injuries and the effect of SCI on the urinary system. Factors that increase the risk for UTI will also be described.
在美国，超过25万人患有脊髓损伤（SCI），每年有1万至1.2万例新损伤发生。在这些脊髓损伤患者中，53%患有四肢瘫痪，46%患有截瘫，不到1%的患者神经功能完全恢复。约48%的患者为完全性损伤（即完全性四肢瘫痪），52%为不完全性损伤（；）。几乎所有与脊髓损伤相关的神经功能障碍患者都有排尿功能障碍。长期以来，尿路感染（UTIs）一直困扰着脊髓损伤患者。泌尿系统并发症曾经是主要死因，现在仍然是脊髓损伤患者发病的主要原因和最常见的感染（）。本文简要概述了脊髓损伤以及脊髓损伤对泌尿系统的影响。还将描述增加尿路感染风险的因素。
