神经原性膀胱物理治疗的研究进展
Research Progress about Physiotherapy of Diabetic Neurogenic Bladder

作者: 陈诗媛 , 张 帆 :北京大学深圳医院内分泌科,深圳;

关键词: 神经原性膀胱物理治疗无创治疗有创治疗Neurogenic Bladder Physiotherapy Noninvasive Therapy Invasive Therapy

摘要:
神经原性膀胱(Neurogenic Bladder, NB)是一类由于神经系统病变导致膀胱和/或尿道功能障碍,进而产生一系列下尿路症状及并发症的疾病总称,包括糖尿病神经原性膀胱、脊髓损伤性病变导致的膀胱功能障碍、医源性导致的排尿异常症状等。NB的治疗尤其在物理治疗方法上发展迅速,并成为重要的核心治疗手段。下面将NB的物理治疗按无创和有创进行综述表明,超短波疗法、骶神经调节等在科研方面研究较广泛,但临床应用少。而经皮低频神经电刺激疗法(Transcutaneous Electrical Nerve Stimulation, TENS)、骶神经前根调节、导尿治疗等在临床上获得一定的应用价值。

Abstract: Neurogenic bladder (NB) is an umbrella term for this kind of diseases that, associated to bladder and/or urinary dysfunction due to the nervous system lesions, produce a series of lower urinary tract symptoms and complications, including diabetes neurogenic bladder, bladder dysfunction caused by spinal cord injury, abnormal micturition symptoms caused by bladder dysfunction, etc. At present, the treatment of NB has been developed rapidly, especially the physiotherapy which has been the important corn therapy of DNB. Review about the physiotherapy of DNB according to noninvasive and invasive therapy shows that ultrashortwave therapy, sacral neuromodulation, pudendal neuromodulation and so on have been researched more widely in experiments than in the clinic. Nevertheless, Transcutaneous Electrical Nerve Stimulation (TENS), interferential current therapy, sacral anterior root stimulation and catheterization therapy and so on have obtained the certain application value in clinic.

文章引用: 陈诗媛 , 张 帆 (2014) 神经原性膀胱物理治疗的研究进展。 医学诊断, 4, 36-43. doi: 10.12677/MD.2014.44007

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