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汇044唐山地震脊髓患者克雷德法排尿20年后之现状
1: Spinal Cord. 2000 Sep;38(9):552-4.
Urologic status of 74 spinal cord injury patients from the 1976 Tangshan earthquake, and managed for over 20 years using the Credé maneuver.
Chang SM, Hou CL, Dong DQ, Zhang H.
Changzheng Hospital, Second Military Medical University, Shanghai, People's
Republic of China.
OBJECTIVE: To evaluate the urologic safety of long-term Credé maneuver as bladder management in spinal cord injured patients.
METHODS: Seventy-four paraplegics were included in this cross-sectional study. They were injured in the Tangshan earthquake in 1976. All patients have large volume (flaccid) bladders and have practiced the Credé maneuver for more than 20 years to expel urine. Current residual urine volume and urologic complications were investigated.
RESULTS:93.2% of patients have residual urine larger than 100 ml and 50% of cases larger than 300 ml. The prevalence of urologic complications is high: pyuria in 82.4%,
urinary lithiasis in 31.3%, ureteral dilatation in 59.5%, hydronephrosis in 35.1% and renal damage in 16.2%. Men are more susceptible to upper urinary tract deterioration than women (P<0.05).
CONCLUSION: The Credé maneuver is not safe for long-term use in spinal cord injury patients, especially in men.
PMID: 11035477 [PubMed - indexed for MEDLINE] 1: Spinal Cord. 2000 Sep;38(9):552-4.
脊柱。2000年 9月;38(9):552-4.
Urologic status of 74 spinal cord injury patients from the 1976 Tangshan earthquake, and managed for over 20 years using the Credé maneuver.
汇044 1976年 唐山地震脊髓患者克雷德法排尿20年后之泌尿道现状
Chang SM, Hou CL, Dong DQ, Zhang H.
Changzheng Hospital, Second Military Medical University, Shanghai, People's
Republic of China.
第二军医大学长征医院，上海，中国
OBJECTIVE: To evaluate the urologic safety of long-term Credé maneuver as bladder
management in spinal cord injured patients.
目的：评估脊柱受伤的病人长期应用克雷德方法进行膀胱训练后泌尿道的安全状况
METHODS: Seventy-four paraplegics
were included in this cross-sectional study. They were injured in the Tangshan
earthquake in 1976. All patients have large volume (flaccid) bladders and have
practiced the Credé maneuver for more than 20 years to expel urine. Current
residual urine volume and urologic complications were investigated.
方法：这个有代表性的研究包括74位截瘫者。他们是1976年唐山地震中受伤的。所有的病人有体积大（收缩力弱）的膀胱并且熟练应用克雷德法排尿超过20年。研究了他们目前的存尿量和尿道并发症的情况。
RESULTS:
93.2% of patients have residual urine larger than 100 ml and 50% of cases larger
than 300 ml. The prevalence of urologic complications is high: pyuria in 82.4%,
urinary lithiasis in 31.3%, ureteral dilatation in 59.5%, hydronephrosis in 35.1%
and renal damage in 16.2%. Men are more susceptible to upper urinary tract
deterioration than women (P<0.05).
结果：93.2%的病人能够存尿大于100ml，50%的情况大于300ml。尿道并发症的流行非常高：脓尿82.4%，尿道结石31.3%，输尿管扩张59.5%，肾盂积水35.1%，肾脏损害16.2%。男性上尿道损害的敏感性大于女性（P<0.05）。
CONCLUSION: The Credé maneuver is not safe for
long-term use in spinal cord injury patients, especially in men.
结论：脊柱受伤的病人长期应用克雷德方法是不安全的，尤其是男性。
PMID: 11035477 [PubMed - indexed for MEDLINE]
脊柱。2000年 9月;38(9):552-4.
1976年唐山地震中74位脊柱受伤且应用克雷德方法训练超过20年的病人的泌尿道状况
Chang SM, Hou CL, Dong DQ, Zhang H.
第二军医大学长征医院，上海，中国
目的：评估脊柱受伤的病人长期应用克雷德方法进行膀胱训练后泌尿道的安全状况
方法：这个有代表性的研究包括74位截瘫者。他们是1976年唐山地震中受伤的。所有的病人有体积大（收缩力弱）的膀胱并且熟练应用克雷德法排尿超过20年。研究了他们目前的存尿量和尿道并发症的情况。
结果：93.2%的病人能够存尿大于100ml，50%的情况大于300ml。尿道并发症的流行非常高：脓尿82.4%，尿道结石31.3%，输尿管扩张59.5%，肾盂积水35.1%，肾脏损害16.2%。男性上尿道损害的敏感性大于女性（P<0.05）。
结论：脊柱受伤的病人长期应用克雷德方法是不安全的，尤其是男性。
PMID: 11035477 [PubMed - indexed for MEDLINE]
slimaii wrote:
Seventy-four paraplegics were included in this cross-sectional 校对整理：1976年唐山地震中74位脊柱受伤、长期应用克雷德方法（20年以上）排尿的病人其泌尿道状况
目的：评估脊柱损伤病人长期采用克雷德方法排尿后泌尿道的安全状况阅读本文的人还阅读：
作者:admin@医学,生命科学 2010-11-04 17:11
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