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肛管静息压反映脊髓神经功能变化的初步研究

The initial study on the anal canal rest pressure reflect the changes of spinal cord nerve function
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摘要 目的 比较观察肛管静息压与肛管粘膜反射、球海绵体反射在腰麻恢复过程中的数值变化。方法 对 50例在腰麻下手术者,用水囊测压方法测量麻醉前、麻醉后消退过程中肛管静息压与肛管粘膜反射、球海绵体反射的数值表现 ,同时记录 ASIA评分,比较各项恢复的早晚和快慢。结果 本方法测量正常成年人肛管静息压约为 60 mmHg,腰麻充分后肛管完全松弛,肛管周围软组织的弹性回缩压力约为 20 mmHg,其余各项均为零,麻醉消退过程中神经功能逐渐恢复,各项均经历由弱至强的恢复过程,肛管静息压最早开始恢复,最先达正常。结论 麻醉消退过程中 ,肛管静息压对脊髓神经功能恢复最为敏感,能最及时反映脊髓神经功能变化。 : Objective To compare quantity of pressure among anal canal rest pressure, anal canal endometrium reflex and bulbocavernosus reflex after lumbar anesthesia.Method A small water sac linked to intelligent measure of physiologic pressure was insered into anal canal of examinees.Pressure of anal canal rest pressure,anal canal endometrium reflex and bulbocavernosus reflex of 50 cases was measured before lumbar anesthesia to recovery.Meanwhile,ASIA grade was dicumeuted, and it was compared what recovered earliest and fastest of all.Result In all 50 cases, the average quantity of anal canal rest pressure was about 60 mmHg. Elasticity of soft tissue around anal canal was about 20 mmHg when lumbar anesthesia only just done,and other all were zero.After lumbar anesthesia ,nerve function recovers little by little, and those all recovered little by little .Anal canal rest pressure recovered earliest and fastest of all.Conclusion After lumbar anesthesia ,anal canal rest pressure is the most sensitive to recovery of nerve function ,It reflects recovery of nerve function most promptly.
出处 《中国组织工程研究与临床康复》 CAS CSCD 2001年第16期34-35,共2页 Journal of Clinical Rehabilitative Tissue Engineering Research
关键词 肛管静息压 反射 神经功能 麻醉 anal canal rest pressure reflect nerve function anesthesia
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