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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.

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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