<strong>Objective:</strong> Explore the rule of autonomic nervous dysfunction in the patients with urination disorder after high level spinal cord injury, and seek a safe, objective and accurate method to ...<strong>Objective:</strong> Explore the rule of autonomic nervous dysfunction in the patients with urination disorder after high level spinal cord injury, and seek a safe, objective and accurate method to evaluate autonomic nervous function. <strong>Patients and Method:</strong> 48 patients with dysuria after cervicothoracic SCI were selected. Before, during and after imaging urodynamic examination with slow filling in supine position, blood pressure and ECG were monitored simultaneously. The symptoms of sweating, shivering, headache, flushing and chills were observed and recorded. The study of the relationship among the changes of blood pressure, heart rate and urodynamic indexes and the above symptoms was analyzed. <strong>Results:</strong> They were divided into three groups: group A (no obvious abnormality), group B (hyperactivity) and group C (hypoactivity) according to their BP, HR and existing the symptoms or not. <strong>Conclusion:</strong> The incidence of autonomic dysfunction in the high level SCI patients with dysuria was very high (79.17%), most of them were hyperactivity, and a few were low function. The changes of SBP and DBP in the hypoactivity group all appeared an increasing and then declining trend, while the change of HR in the low function one was lower than normal and decreased continuously. The main inducements of AD are neurogenic detrusor overactivity, detrusor sphincter dyssynergia, elevated abdominal pressure and abnormal bladder sensitivity. The asymptomatic patients had a higher occurrence rate (43.75%). Only by imaging urodynamic examination with slow filling and synchronous blood pressure monitoring, can autonomic nervous function of the patients be evaluated safely, objectively, early and accurately.展开更多
For the past few years, noise pollution has been more and more serious, and it may lead to several diseases. While the humans expose to noise in quantity for a long time, their blood pressure will change, and even cau...For the past few years, noise pollution has been more and more serious, and it may lead to several diseases. While the humans expose to noise in quantity for a long time, their blood pressure will change, and even cause changes in cardiac function. In our study, we attempt to find the relationship between occupational noise and hypertension and impaired hearing, cardiac function. It may be helpful to obtain some useful information on occupational noise exposure of humans. The participants were divided into noisy group ≥90 dB (A) and non-noisy group ≤70 dB (A). We performed this research in an automobile manufacturing company of Chongqing, China during 2011-2012. Our study showed that there may be positive associations between?occupational noise and hypertension and impaired hearing, but no conclusion can be drawn between occupational noise and ECG.展开更多
目的探究听觉诱发电位(auditory evoked potential,AEP)检查P1波峰、P1潜伏期与外中耳畸形患儿术后听觉行为分级(CAP)及言语可懂度分级(SIR)的相关性及对听力改善的评估价值。方法选取我院2017年1月~2019年1月外中耳畸形患儿82例,比较...目的探究听觉诱发电位(auditory evoked potential,AEP)检查P1波峰、P1潜伏期与外中耳畸形患儿术后听觉行为分级(CAP)及言语可懂度分级(SIR)的相关性及对听力改善的评估价值。方法选取我院2017年1月~2019年1月外中耳畸形患儿82例,比较术前、术后12个月P1波峰、P1潜伏期、CAP、SIR分级,分析其相关性,采用有意义听觉整合量表(MAIS)评分评价术后12个月患儿听力康复情况,比较患儿临床资料、P1波峰、P1潜伏期,评价P1波峰、P1潜伏期对听力改善的评估价值。结果术后12个月P1波峰低于术前,P1潜伏期短于术前,CAP、SIR分级高于术前(P<0.05);术前、术后12个月P1波峰、P1潜伏期与CAP、SIR分级均呈负相关(P<0.05);不同MAIS评分患儿术前听力损失程度、术前、术后12个月后CAP、SIR分级、P1波峰比较,差异有统计学意义(P<0.05);P1波峰、P1潜伏期联合评估听力改善的曲线下面积(area under the curve,AUC)最大,为0.872,敏感度、特异度分别为74.19%、85.00%。结论P1波峰、P1潜伏期与外中耳畸形患儿术后CAP、SIR分级均存在负相关性,采用AEP检查P1波峰、P1潜伏期在评估人工耳蜗植入术后听力改善方面具有重要价值。展开更多
文摘<strong>Objective:</strong> Explore the rule of autonomic nervous dysfunction in the patients with urination disorder after high level spinal cord injury, and seek a safe, objective and accurate method to evaluate autonomic nervous function. <strong>Patients and Method:</strong> 48 patients with dysuria after cervicothoracic SCI were selected. Before, during and after imaging urodynamic examination with slow filling in supine position, blood pressure and ECG were monitored simultaneously. The symptoms of sweating, shivering, headache, flushing and chills were observed and recorded. The study of the relationship among the changes of blood pressure, heart rate and urodynamic indexes and the above symptoms was analyzed. <strong>Results:</strong> They were divided into three groups: group A (no obvious abnormality), group B (hyperactivity) and group C (hypoactivity) according to their BP, HR and existing the symptoms or not. <strong>Conclusion:</strong> The incidence of autonomic dysfunction in the high level SCI patients with dysuria was very high (79.17%), most of them were hyperactivity, and a few were low function. The changes of SBP and DBP in the hypoactivity group all appeared an increasing and then declining trend, while the change of HR in the low function one was lower than normal and decreased continuously. The main inducements of AD are neurogenic detrusor overactivity, detrusor sphincter dyssynergia, elevated abdominal pressure and abnormal bladder sensitivity. The asymptomatic patients had a higher occurrence rate (43.75%). Only by imaging urodynamic examination with slow filling and synchronous blood pressure monitoring, can autonomic nervous function of the patients be evaluated safely, objectively, early and accurately.
文摘For the past few years, noise pollution has been more and more serious, and it may lead to several diseases. While the humans expose to noise in quantity for a long time, their blood pressure will change, and even cause changes in cardiac function. In our study, we attempt to find the relationship between occupational noise and hypertension and impaired hearing, cardiac function. It may be helpful to obtain some useful information on occupational noise exposure of humans. The participants were divided into noisy group ≥90 dB (A) and non-noisy group ≤70 dB (A). We performed this research in an automobile manufacturing company of Chongqing, China during 2011-2012. Our study showed that there may be positive associations between?occupational noise and hypertension and impaired hearing, but no conclusion can be drawn between occupational noise and ECG.
文摘目的探究听觉诱发电位(auditory evoked potential,AEP)检查P1波峰、P1潜伏期与外中耳畸形患儿术后听觉行为分级(CAP)及言语可懂度分级(SIR)的相关性及对听力改善的评估价值。方法选取我院2017年1月~2019年1月外中耳畸形患儿82例,比较术前、术后12个月P1波峰、P1潜伏期、CAP、SIR分级,分析其相关性,采用有意义听觉整合量表(MAIS)评分评价术后12个月患儿听力康复情况,比较患儿临床资料、P1波峰、P1潜伏期,评价P1波峰、P1潜伏期对听力改善的评估价值。结果术后12个月P1波峰低于术前,P1潜伏期短于术前,CAP、SIR分级高于术前(P<0.05);术前、术后12个月P1波峰、P1潜伏期与CAP、SIR分级均呈负相关(P<0.05);不同MAIS评分患儿术前听力损失程度、术前、术后12个月后CAP、SIR分级、P1波峰比较,差异有统计学意义(P<0.05);P1波峰、P1潜伏期联合评估听力改善的曲线下面积(area under the curve,AUC)最大,为0.872,敏感度、特异度分别为74.19%、85.00%。结论P1波峰、P1潜伏期与外中耳畸形患儿术后CAP、SIR分级均存在负相关性,采用AEP检查P1波峰、P1潜伏期在评估人工耳蜗植入术后听力改善方面具有重要价值。
