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[脊髓损伤患者大小便失禁时肛门括约肌的电刺激治疗]

[Electrostimulation of the anal sphincter in incontinence among patients with spinal cord lesions].

作者信息

Livshits A V, Poliak B I, Beliaev V I

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1983 Nov-Dec(6):36-40.

PMID:6606916
Abstract

The effect of electrostimulation of the rectum on the sphincter of the urinary bladder in patients with traumatic damage to the spinal cord and involuntary micturition was studied. It was established that the therapeutic effect of electrostimulation was determined by the parameters of the stimulating current. The optimum parameters were as follows: pulse duration, 0.8-1 msec; pulse shape, rectangular, diphase; frequency of electric pulse flow, 50 per sec. Output voltage--4 to 15 v. These electric current parameters were fed into a constructed electric stimulator of the urinary bladder sphincter ESMP 15-1. The effect of electric stimulation of the bladder sphincter in patients with damage to the spinal cord was highest in mild resistance of the sphincter; after a course of therapeutic electrostimulation the resistance grew. This facilitated the possibility of holding the urine in patients with injury to the spinal cord.

摘要

研究了直肠电刺激对脊髓损伤并伴有非自主性排尿患者膀胱括约肌的影响。结果表明,电刺激的治疗效果取决于刺激电流的参数。最佳参数如下:脉冲持续时间为0.8 - 1毫秒;脉冲形状为矩形、双相;电脉冲流频率为每秒50次。输出电压为4至15伏。这些电流参数被输入到所构建的膀胱括约肌电刺激器ESMP 15 - 1中。在括约肌轻度阻力情况下,脊髓损伤患者膀胱括约肌电刺激的效果最佳;经过一个疗程的治疗性电刺激后,阻力增加。这有利于脊髓损伤患者憋尿。

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