神经原膀胱的病理生理与治疗特点  

Pathophysiological character of peripheral neurogenic bladder and its treatment.

作　　者：王新民 曹琳 

机构地区：[1]暨南大学第二临床医学院(深圳市人民医院),广东深圳518020

出　　处：《中国实用内科杂志》2011年第1期64-66,共3页Chinese Journal of Practical Internal Medicine

基　　金：2010年深圳市重点科技计划项目(201001003)

摘　　要：神经原膀胱是由排尿反射弧各个环节的神经元或神经纤维受损所导致的膀胱尿道功能障碍,可有高反应膀胱或低反应膀胱的病理生理特点,主要因尿失禁或尿潴留影响生活质量或因尿道感染影响生存寿命。根据神经原膀胱受损的神经反射弧可分为周围性和中枢性两大类型,现综述其病理生理特点和治疗特点等。Summary：Neurogenic bladder is caused by the damage of the nervous pathway of urinary reflecting and may present the dysfunction of vesica and urethra, which may be manifestated as overactive bladder or atonic one. In order to treat a great variety of neurogenic bladders better, we classify them into peripheral neurogenic bladder （PNB） and central neurogenic bladder （CNB） according to the nervous damage of spinal cord below or upper. So we review the characters of pathophysiology and treatment between PNB and CNB.

关 键 词：周围性神经原膀胱 中枢性神经原膀胱 病理生理 糖尿病 

分 类 号：R5[医药卫生—内科学]