Caruso Deborah, Gater David, Harnish Christopher
Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, USA.
Department of Veterans Affairs, Hunter Holmes McGuire Medical Center, 1201 Broad Rock Boulevard, Richmond, VA, 23249, USA.
Clin Auton Res. 2015 Oct;25(5):293-300. doi: 10.1007/s10286-015-0303-0. Epub 2015 Aug 18.
There is a dearth of literature on the treatment of chronic recurrent autonomic dysreflexia (AD), a well-known complication of spinal cord injury that can have life-threatening implications. This study sought to identify clinical practices regarding the treatment of AD, both acute and recurrent, in patients with spinal cord injury (SCI).
Online survey regarding AD management in SCI composed of 11 questions designed to obtain information on respondent characteristics, AD treatment options, and causes of AD.
Veterans Administration health care system.
Veterans Health Administration National SCI Staff Physicians were sent an electronic email to participate in the anonymous web-based survey.
None applicable.
The response rate was 52%. The most commonly prescribed medications for minor and severe acute manifestations of AD were nitrates. For recurrent AD, clonidine was the most commonly prescribed medication.
Anti-hypertensive medications continue to be the mainstay in the management of both acute and chronic recurrent AD. Current literature is lacking in prospective randomized controlled trials investigating the relative efficacy of AD interventions. Evidence-based practice guidelines are necessary to improve clinical care.
关于慢性复发性自主神经反射异常（AD）的治疗，相关文献匮乏，AD是脊髓损伤的一种众所周知的并发症，可产生危及生命的后果。本研究旨在确定脊髓损伤（SCI）患者急性和复发性AD治疗的临床实践。
关于SCI中AD管理的在线调查，由11个问题组成，旨在获取有关受访者特征、AD治疗选择和AD病因的信息。
退伍军人管理局医疗保健系统。
向退伍军人健康管理局国家SCI staff Physicians发送电子邮件，邀请他们参与匿名的基于网络的调查。
无。
回复率为52%。AD轻度和重度急性表现最常用的药物是硝酸盐。对于复发性AD，可乐定是最常用的药物。
抗高血压药物仍然是急性和慢性复发性AD管理的主要手段。目前的文献缺乏调查AD干预相对疗效的前瞻性随机对照试验。需要基于证据的实践指南来改善临床护理。
