Asayama K, Kihara K, Shidoh T, Shigaki M, Ikeda T
Yunoko Rehabilitation Center, Minamata Municipal Hospital, Japan.
Paraplegia. 1995 Jan;33(1):30-3. doi: 10.1038/sc.1995.7.
Since the introduction of intermittent self-catheterisation by Lapides et al, low pressure voiding methods have been adopted actively in our centre. A retrospective review of 47 patients with cervical spinal cord injury (CSCI) who performed independent (self) clean intermittent catheterisation (CIC) on discharge is presented. Their functional abilities were evaluated by both the Frankel and the Zancolli scales. Fourteen out of the 47 patients could manage independent CIC, 17 assisted CIC, nine tapped or voided voluntarily, two were discharged with a diaper, one with a suprapubic catheter, and four with an indwelling catheter. According to Frankel's classification, four patients were in A category, four in B, one in C and five in D among the group of complete CIC. C6A/C5B (right/left hand) by Zancolli's classification was the highest level of ability for all these 14 patients; and one patient (a 30-year-old male, Frankel B classification) could manage independent CIC with the aid of our special device. However, the practical limit of functional hands for independent CIC appeared to be about C6B1.
自从拉皮德斯等人引入间歇性自我导尿术以来，我们中心积极采用了低压排尿方法。本文对47例颈脊髓损伤（CSCI）患者进行了回顾性研究，这些患者在出院时均能独立（自我）进行清洁间歇性导尿（CIC）。通过Frankel和赞科利量表对他们的功能能力进行了评估。47例患者中，14例能够独立进行CIC，17例需要协助进行CIC，9例能够自主轻拍或排尿，2例出院时使用尿布，1例使用耻骨上导管，4例使用留置导管。根据Frankel分类，在完全性CIC组中，4例患者为A类，4例为B类，1例为C类，5例为D类。根据赞科利分类，这14例患者中功能手的最高能力水平为C6A/C5B（右/左手）；1例患者（30岁男性，Frankel B分类）借助我们的特殊装置能够独立进行CIC。然而，独立进行CIC的功能手的实际限制似乎约为C6B1。
