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学科主题: 临床医学
题名:
Autonomic dysreflexia severity during urodynamics and cystoscopy in individuals with spinal cord injury
作者: Liu, N.1,2; Fougere, R.2; Zhou, M-W1; Nigro, M. K.2,3; Krassioukov, A. V.2,4,5
关键词: spinal cord injury ; autonomic dysreflexia ; blood pressure ; urodynamics ; cystoscopy
刊名: SPINAL CORD
发表日期: 2013-11-01
DOI: 10.1038/sc.2013.113
卷: 51, 期:11, 页:863-867
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Clinical Neurology ; Rehabilitation
研究领域[WOS]: Neurosciences & Neurology ; Rehabilitation
关键词[WOS]: INTERNATIONAL STANDARDS ; ANORECTAL PROCEDURES ; DOUBLE-BLIND ; DATA SET ; HEMORRHAGE ; LIDOCAINE ; RATS ; MEN
英文摘要:

Study Design: Retrospective chart review.

Objective: To compare autonomic dysreflexia (AD) severity during urodynamics and cystoscopy in individuals with spinal cord injury (SCI).

Setting: Outpatient urological clinic.

Methods: Demographic and clinical data were collected from charts of individuals with SCI who had blood pressure (BP) monitoring during urological procedures. Cardiovascular parameters were collected at baseline and during the various stages of two examinations.

Results: A total of 21 SCI individuals (mean age 49.4 years) who underwent both procedures developed episodes of AD. The majority of individuals had cervical SCI (85.7%). The median duration of injury was 183 months (ranging from 3 to 530 months). There was statistically more of an increase (P = 0.039) in systolic BP during cystoscopy (67.1 +/- 33.8 mm Hg) in comparison with urodynamics (51.8 +/- 21.8 mm Hg). The BP response during episodes of AD was more pronounced in individuals with more than 2 years post SCI than with less than 2 years post SCI during both urodynamics and cystoscopy (P - 0.047 and P - 0.010, respectively).

Conclusion: Even though cystoscopy filled the bladder to lesser volumes than did urodynamics (150 ml vs 500 ml), during cystoscopy the individuals developed greater changes in systolic BP, indicating that stimulation of the urethra/prostate/internal sphincter region probably is a more potent stimulus of AD than just the filling of the bladder. The severity of AD also increased with time post SCI during both procedures. Considering the high incidence of silent episodes of AD during the urological procedures, it is recommended that monitoring of cardiovascular parameters during these procedures be routinely performed.

语种: 英语
项目资助者: China Scholarship Council ; Canadian Heart and Stroke Foundation ; Canadian Institute of Health Research ; Canadian Foundation for Innovation ; Rick Hansen Institute ; Craig Neilsen Foundation ; Christopher and Dana Reeve Foundation
WOS记录号: WOS:000326921700014
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52640
Appears in Collections:北京大学第三临床医学院_康复医学科_期刊论文

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作者单位: 1.Peking Univ, Hosp 3, Dept Rehabil Med, Beijing 100871, Peoples R China
2.Univ British Columbia, Dept Med, ICORD, Vancouver, BC V5Z 1M9, Canada
3.Univ British Columbia, Fac Med, Dept Urol Sci, Vancouver, BC V5Z 1M9, Canada
4.Univ British Columbia, Div Phys Med & Rehabil, Vancouver, BC V5Z 1M9, Canada
5.Vancouver Coastal Hlth, GF Strong Rehabil Ctr, Vancouver, BC, Canada

Recommended Citation:
Liu, N.,Fougere, R.,Zhou, M-W,et al. Autonomic dysreflexia severity during urodynamics and cystoscopy in individuals with spinal cord injury[J]. SPINAL CORD,2013,51(11):863-867.
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