应用交感皮肤反应鉴别精神性尿频的临床实验研究  

Clinical study of the role of SSR in the discrimination of mental urinary frequency

作　　者：程伟[1] 宋波[2] 金锡御[2] 张雄[1] 黄捷[1] 

机构地区：[1]重庆市第九人民医院泌尿外科,重庆400700 [2]第三军医大学附属西南医院泌尿外科,重庆400700

出　　处：《现代泌尿外科杂志》2011年第3期214-216,共3页Journal of Modern Urology

摘　　要：目的探讨交感皮肤反应(SSR)在临床鉴别精神性尿频中的价值。方法对15名健康成年人(正常组)和28例尿频患者(尿频组)分别进行自然条件下SSR持续检测、常规充盈性膀胱测压(FC)和FC-SSR同步检查。观察受检者在出现排尿欲望时诱发SSR情况,并以能否诱发SSR分成两组,比较两组受检者经FC检查和FC-SSR同步检查所测得的初始尿意容量(FDC)与最大膀胱测压容量(MCC)的比值。结果正常组在出现排尿欲望时均能诱发出SSR,尿频组有15例不能诱发出SSR(无SSR组),13例能诱发出SSR(有SSR组);比较常规FC检查测得的FDC/MCC值:有SSR组(45.2±6.56)与无SSR组(47.9±7.55)无明显差异(P>0.05),而较正常组(58.9±8.03)均明显减小(P<0.01);FC-SSR同步检查:有SSR组的FDC/MCC值(56.7±4.58)较无SSR组(67.4±4.94)和正常组(69.4±2.92)明显减小(P<0.01);无SSR组和正常组比较无明显差异(P>0.05)。结论 SSR作为下尿路传人冲动的客观指标,对临床鉴别精神性尿频有一定价值。Objective To investigate the value of sympathetic skin response（SSR） in the clinical discrimination of mental urinary frequency.Methods SSR,filling cystonetry（FC）,and FC-SSR of 15 healthy adults and 28 patients with urinary frequency were continually detected.SSR was observed when the micturinion desire occurred.Based on the SSR,the 28 patients were divided into 2 groups and the results of FDC/MCC from FC and FC-SSR were compared.Results SSR could be induced in all healthy adults.In the 28 patients,13 had SSR（SSR Group） and 15 no SSR（No SSR Group）.Comparison of FDC/MCC showed there was no significant difference between the 2 groups of patients,but the values of these 2 groups were lower than that in the healthy adults（P0.01）.The comparison of FDC/MCC by FC-SSR showed there was no significant difference between the SSR Group and the healthy adults,but the value was significantly lower in the SSR Group than in the controls and the No SSR Group（P0.01）.Conclusions SSR is clinically valuable to the discrimination of mental urinary frequency.

关 键 词：交感皮肤反应 充盈性膀胱测压 精神性尿频 

分 类 号：R694.52[医药卫生—泌尿科学]