记录脊髓损伤患者和神经源性肠功能障碍患者剩余自主功能的国际标准：示例病例
International standards to document remaining autonomic Function in persons with SCI and neurogenic bowel dysfunction: Illustrative cases.
作者信息
Goetz Lance L, Emmanuel Anton, Krogh Klaus
机构信息
1Spinal Cord Injury and Disorders Service, Hunter Holmes McGuire VA Medical Center and Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA USA.
2GI Physiology Unit, University College Hospital, London, UK.
出版信息
Spinal Cord Ser Cases. 2018 Jan 19;4:1. doi: 10.1038/s41394-017-0030-y. eCollection 2018.
INTRODUCTION
Neurogenic bowel dysfunction (NBD) is a highly prevalent problem after spinal cord injury, with potential for significant impact on health and quality of life. The international standards to document remaining autonomic function after SCI were developed to standardize communication between professionals regarding neurogenic bowel and other autonomic function after SCI. To improve understanding of the bowel subsection, illustrative cases are presented.
CASE PRESENTATION
Three cases are presented which illustrate differences in presentation and scoring of the elements in the data set based upon varying injury severity and location.
DISCUSSION
Determination of neurologic level of injury is insufficient for assessment of autonomic function and there is no direct method of assessment. Hence, surrogate makers are needed. The bowel subsection of the International standards to document remaining autonomic function in persons with SCI is an easy-to-use tool for this purpose.
引言
神经源性肠道功能障碍（NBD）是脊髓损伤后非常普遍的问题，对健康和生活质量有潜在的重大影响。制定脊髓损伤后记录剩余自主神经功能的国际标准，旨在规范专业人员之间关于脊髓损伤后神经源性肠道及其他自主神经功能的交流。为增进对肠道部分的理解，现展示一些病例。
病例展示
呈现了三个病例，这些病例说明了根据损伤严重程度和部位不同，数据集中各要素在表现和评分上的差异。
讨论
损伤神经平面的确定不足以评估自主神经功能，且没有直接的评估方法。因此，需要替代指标。脊髓损伤患者记录剩余自主神经功能的国际标准中的肠道部分，就是为此目的而设计的一个易于使用的工具。
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