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排尿障碍:神经药理学基础与药物治疗结果

Disorders of micturition: neuropharmacologic basis and results of drug therapy.

作者信息

Khanna O P

出版信息

Urology. 1976 Oct;8(4):316-28. doi: 10.1016/0090-4295(76)90483-0.

DOI:10.1016/0090-4295(76)90483-0
PMID:9724
Abstract

The clinical use of various pharmacologic agents in problems of micturition is based on the new concepts of intrinsic urethrovesical innervation, presence and regional predominance of autonomic neuroreceptors, and experimental evidence of the effects of various drugs on the bladder and the urethra. A new concept, relating to the processes that control bladder filling and emptying, is coming into being and replacing the traditional concept based on anatomic grounds alone. On the basis of the published data, and from personal experience both experimental and clinical, pharmacologic agents singly or in combination can be effectively and safely used in various problems of micturition such as incontinence (enuresis, stress incontinence in women, postprostatectomy, urgency incontinence), and functional outflow obstruction caused by neurologic or non-neurologic disease processes.

摘要

各种药物制剂在排尿问题中的临床应用是基于尿道膀胱内在神经支配、自主神经受体的存在及区域优势以及各种药物对膀胱和尿道作用的实验证据等新概念。一个与控制膀胱充盈和排空过程相关的新概念正在形成,并正在取代仅基于解剖学依据的传统概念。根据已发表的数据以及个人的实验和临床经验,药物制剂单独或联合使用可有效且安全地用于各种排尿问题,如尿失禁(遗尿、女性压力性尿失禁、前列腺切除术后、急迫性尿失禁)以及由神经或非神经疾病过程引起的功能性流出道梗阻。

相似文献

1
Disorders of micturition: neuropharmacologic basis and results of drug therapy.排尿障碍:神经药理学基础与药物治疗结果
Urology. 1976 Oct;8(4):316-28. doi: 10.1016/0090-4295(76)90483-0.
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Cholinergic and adrenergic neuroreceptors in urinary tract of female dogs. Evaluation of function with pharmacodynamics.雌性犬泌尿道中的胆碱能和肾上腺素能神经受体。药效学功能评估。
Urology. 1975 May;5(5):616-23. doi: 10.1016/0090-4295(75)90112-0.
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Pharmacologic treatment of lower urinary tract dysfunction in the female patient.女性患者下尿路功能障碍的药物治疗
Urol Clin North Am. 1985 May;12(2):259-69.
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Physiological and pharmacological basis for the chemotherapy of enuresis.遗尿症化疗的生理和药理学基础。
Psychol Med. 1979 May;9(2):249-63. doi: 10.1017/s0033291700030749.
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[Personal experiences with phenoxybenzamine (Dibenzyran) in the treatment of functional disorders of bladder emptying].[苯氧苄胺(双苄胺)治疗膀胱排空功能障碍的个人经验]
Z Urol Nephrol. 1988 Mar;81(3):153-8.
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Pharmacological management of common urodynamic problems.常见尿动力学问题的药物治疗
Urol Clin North Am. 1979 Feb;6(1):265-72.
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Some clinical implications of adrenergic receptors in the urinary tract.肾上腺素能受体在泌尿系统中的一些临床意义。
Arch Surg. 1975 Mar;110(3):247-50. doi: 10.1001/archsurg.1975.01360090017003.
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The functional approach to the management of the pediatric neuropathic bladder: a clinical study.小儿神经源性膀胱管理的功能学方法:一项临床研究。
J Urol. 1977 May;117(5):649-54. doi: 10.1016/s0022-5347(17)58574-2.
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Imipramine hydrochloride: pharmacodynamic effects on lower urinary tract of female dogs.盐酸丙咪嗪:对雌性犬下尿路的药效学作用
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Proceedings: Function of the posterior urethra in ejaculation and its importance for urine control.会议论文:后尿道在射精中的功能及其对控尿的重要性。
Urol Int. 1974;29(3):226-30. doi: 10.1159/000279920.

引用本文的文献

1
Pharmacotherapy for Pediatric Neurogenic Bladder.小儿神经源性膀胱的药物治疗
Paediatr Drugs. 2017 Oct;19(5):463-478. doi: 10.1007/s40272-017-0249-x.
2
Urinary incontinence in the elderly.老年人尿失禁
West J Med. 1981 Dec;135(6):482-91.
3
Urethral stricture.尿道狭窄
Postgrad Med J. 1980 Jun;56(656):383-418. doi: 10.1136/pgmj.56.656.383.
4
Obstruction or no obstruction.梗阻与否。
Int Urol Nephrol. 1988;20(5):489-96. doi: 10.1007/BF02550609.
5
Sequence of return of neurological function and criteria for safe ambulation following subarachnoid block (spinal anaesthetic).蛛网膜下腔阻滞(脊髓麻醉)后神经功能恢复顺序及安全行走标准
Can Anaesth Soc J. 1978 Mar;25(2):133-9. doi: 10.1007/BF03005071.
6
Drugs acting on the bladder and urethra.作用于膀胱和尿道的药物。
Br Med J. 1978 Jun 17;1(6127):1607-8. doi: 10.1136/bmj.1.6127.1607.