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初级保健提供者脊髓损伤后神经源性下尿路功能障碍和尿路感染管理指南

A Primary Care Provider's Guide to Management of Neurogenic Lower Urinary Tract Dysfunction and Urinary Tract Infection After Spinal Cord Injury.

作者信息

Milligan James, Goetz Lance L, Kennelly Michael J

机构信息

The Centre for Family Medicine, Kitchener, Ontario, Canada.

McMaster University Department of Family Medicine, Hamilton, Ontario, Canada.

出版信息

Top Spinal Cord Inj Rehabil. 2020 Spring;26(2):108-115. doi: 10.46292/sci2602-108.

DOI:10.46292/sci2602-108
PMID:32760189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7384538/
Abstract

Neurogenic lower urinary tract dysfunction (NLUTD), previously termed neurogenic bladder dysfunction, is a common secondary complication of spinal cord injury (SCI). It is associated with significant morbidity, reduced quality of life, increased health care costs, and mortality. Primary care providers (PCPs) play an important role in optimizing urohealth over the life span. This article will review NLUTD in SCI, its complication, surveillance, and management. PCPs should be aware of SCI-related NLUTD, its complications, management, and surveillance recommendations, and when to refer to a specialist.

摘要

神经源性下尿路功能障碍(NLUTD),以前称为神经源性膀胱功能障碍,是脊髓损伤(SCI)常见的继发性并发症。它与严重的发病率、生活质量下降、医疗保健成本增加以及死亡率相关。初级保健提供者(PCP)在优化整个生命周期的泌尿健康方面发挥着重要作用。本文将综述SCI中的NLUTD、其并发症、监测和管理。PCP应了解与SCI相关的NLUTD、其并发症、管理和监测建议,以及何时转诊给专科医生。

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本文引用的文献

1
Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America.美国传染病学会 2019 年无症状菌尿管理临床实践指南更新版。
Clin Infect Dis. 2019 May 2;68(10):1611-1615. doi: 10.1093/cid/ciz021.
2
Adult Neurogenic Lower Urinary Tract Dysfunction and Intermittent Catheterisation in a Community Setting: Risk Factors Model for Urinary Tract Infections.社区环境中成人神经源性下尿路功能障碍与间歇性导尿:尿路感染的危险因素模型
Adv Urol. 2019 Apr 2;2019:2757862. doi: 10.1155/2019/2757862. eCollection 2019.
3
Genitourinary Complications Are a Leading and Expensive Cause of Emergency Department and Inpatient Encounters for Persons With Spinal Cord Injury.泌尿系统并发症是导致脊髓损伤患者急诊和住院的主要且昂贵的原因。
Arch Phys Med Rehabil. 2019 Sep;100(9):1614-1621. doi: 10.1016/j.apmr.2019.02.013. Epub 2019 Mar 30.
4
Comprehensive Care for Persons with Spinal Cord Injury.脊髓损伤患者的综合护理。
Phys Med Rehabil Clin N Am. 2019 Feb;30(1):55-72. doi: 10.1016/j.pmr.2018.08.010.
5
Surveillance and management of urologic complications after spinal cord injury.脊髓损伤后泌尿系统并发症的监测和管理。
World J Urol. 2018 Oct;36(10):1545-1553. doi: 10.1007/s00345-018-2345-0. Epub 2018 May 29.
6
Prevalence, management, and prognosis of bladder cancer in patients with neurogenic bladder: A systematic review.神经源性膀胱患者膀胱癌的患病率、治疗和预后:系统评价。
Neurourol Urodyn. 2018 Apr;37(4):1386-1395. doi: 10.1002/nau.23457. Epub 2017 Nov 23.
7
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Changes in bacterial epidemiology and antibiotic resistance among veterans with spinal cord injury/disorder over the past 9 years.过去9年中脊髓损伤/疾病退伍军人的细菌流行病学和抗生素耐药性变化。
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J Exerc Rehabil. 2016 Dec 31;12(6):624-631. doi: 10.12965/jer.1632874.437. eCollection 2016 Dec.
10
Bacterial susceptibility patterns in patients with spinal cord injury and disorder (SCI/D): an opportunity for customized stewardship tools.脊髓损伤和疾病(SCI/D)患者的细菌药敏模式:定制管理工具的契机。
Spinal Cord. 2016 Nov;54(11):1001-1009. doi: 10.1038/sc.2016.38. Epub 2016 Mar 22.