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Transcutaneous electrical nerve stimulation for refractory daytime urinary urge incontinence.经皮电刺激神经治疗难治性日间急迫性尿失禁。
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2
Neuromodulation for functional bowel disorders.功能性肠病的神经调节治疗
Best Pract Res Clin Gastroenterol. 2009;23(4):545-53. doi: 10.1016/j.bpg.2009.04.009.
3
Neural tube defects: prevalence, etiology and prevention.神经管缺陷:患病率、病因及预防
Int J Urol. 2009 Jan;16(1):49-57. doi: 10.1111/j.1442-2042.2008.02163.x.
4
Renal involvement in children with spina bifida.脊柱裂患儿的肾脏受累情况。
Saudi J Kidney Dis Transpl. 2009 Jan;20(1):102-5.
5
[Neuromuscular dysfunction of the lower urinary tract dysfunction beyond spinal cord injury and multiple sclerosis. A challenge for urologists].[脊髓损伤和多发性硬化症之外的下尿路功能障碍的神经肌肉功能障碍。给泌尿科医生的一项挑战]
Urologe A. 2008 Sep;47(9):1097-8, 1100-2, 1104-5. doi: 10.1007/s00120-008-1850-y.
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Treatment of the neurogenic bladder in spina bifida.脊柱裂神经源性膀胱的治疗
Pediatr Nephrol. 2008 Jun;23(6):889-96. doi: 10.1007/s00467-008-0780-7.
7
Sacral nerve stimulation is more effective than optimal medical therapy for severe fecal incontinence: a randomized, controlled study.骶神经刺激治疗重度大便失禁比最佳药物治疗更有效:一项随机对照研究。
Dis Colon Rectum. 2008 May;51(5):494-502. doi: 10.1007/s10350-007-9103-5. Epub 2008 Feb 16.
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Adolescents born with spina bifida: experiential worlds and biopsychosocial developmental challenges.患有脊柱裂的青少年:体验世界与生物心理社会发展挑战。
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An investigation into the effects of a unilaterally applied lumbar mobilisation technique on peripheral sympathetic nervous system activity in the lower limbs.一项关于单侧应用腰椎松动技术对下肢外周交感神经系统活动影响的调查。
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一名5岁尿便失禁男孩的整脊治疗

Chiropractic management of a 5-year-old boy with urinary and bowel incontinence.

作者信息

Kamrath Keith R

机构信息

Chiropractor, Private Practice, Hutchinson, MN 55350.

出版信息

J Chiropr Med. 2010 Mar;9(1):28-31. doi: 10.1016/j.jcm.2009.12.003.

DOI:10.1016/j.jcm.2009.12.003
PMID:21629396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3081241/
Abstract

OBJECTIVE

The purpose of this article is to describe chiropractic management of a 5-year-old boy with urinary and bowel incontinence.

CLINICAL FEATURES

A 5-year-old boy presented with the primary symptoms of a complete lack of bowel and bladder control with prior surgical correction for lumbar meningocele, spinal lipoma, and tethered spinal cord. Examination revealed spinal and pelvic dysfunction.

INTERVENTION AND OUTCOME

Chiropractic treatment methods included using the Activator adjusting instrument and shortwave diathermy to the lumbar spine and sacrum. A total of 5 treatments were initially provided over a period of 4 weeks. After the initial treatment period, he was able to maintain satisfactory control of his bladder and bowel, day and night, for a period of approximately 6 months. A second course of treatments was initiated approximately 6 months later because of a recurrence of bladder and bowel incontinence. Four additional treatments were provided over a period of 4 weeks. This second course of treatment reestablished satisfactory control of bladder and bowel function.

CONCLUSION

For this patient, chiropractic care was successful in establishing satisfactory bladder and bowel control.

摘要

目的

本文旨在描述一名患有大小便失禁的5岁男孩的整脊治疗情况。

临床特征

一名5岁男孩,主要症状为完全无法控制大小便,此前因腰椎脊膜膨出、脊髓脂肪瘤和脊髓拴系接受过手术矫正。检查发现脊柱和骨盆功能障碍。

干预措施及结果

整脊治疗方法包括使用激活器调整仪器对腰椎和骶骨进行短波透热疗法。最初在4周内共进行了5次治疗。初始治疗期过后,他能够日夜维持对膀胱和肠道的满意控制,持续约6个月。大约6个月后,由于大小便失禁复发,开始了第二个疗程的治疗。在4周内又进行了4次治疗。这第二个疗程的治疗重新建立了对膀胱和肠道功能的满意控制。

结论

对于该患者,整脊治疗成功地建立了对膀胱和肠道的满意控制。