BCR技术在糖尿病性神经源性膀胱诊断及药物疗效评估中的应用价值

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Abstract Objective: To explore the diagnostic value of bulbocavernosus reflex (BCR) in diabetic neurogenic bladder. Methods: Neuroelectrophysiological technique was adopted to determine BCR in 95 diabetes patients with or without sphincter dysfunction (Case Group) and 80 healthy adult (Control Group). All the cases took methylcobalamin tablets for 3 months, then reassed the clinical symptoms, residual urine, blood sugar checks and BCR. Results: BCR latencies in case group were remarkably prolonged than that in control group (P<0.05). BCR amplitudes in case group were remarkably decreased than that in control group (P<0.05). There is no statistical difference of BCR latencies and amplitudes between the two groups before and after methylcobalamin treatment (P>0.05). Conclusion: The patients with diabetic neurogenic bladder have pudendal nerve diseases. BCR is valuable in the topical diagnosis of patients with diabetic neurogenic bladder. Diabetic neurogenic bladder pathological changes are mainly in axonal lesions. The recovery is slow or irreversible after drug treatment.

Received: 22 March 2013

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	NIU Xiaoting
	SHAO Bei
	WANG Xun
	ZHANG Yunyun
	NI Peiqi
	HUANG Huanjie

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2014/V44/I1/12

[1] Niu XT, Shao B, Ni PQ, et al. Bulbocavernosus reflex and pudendal nerve somatosensory-evoked potentials responses in female patients with nerve system diseases[J]. J Clinical Neurophysiology, 2010, 27(3): 207-211.
[2] 牛晓婷, 邵蓓, 倪佩琦, 等. 女性尿道括约肌功能障碍患者的BCR及SSEP检测结果分析[J]. 中华物理医学与康复杂志, 2010, 32(9): 691-692.
[3] 邵蓓, 牛晓婷, 倪佩琦, 等. 女性周围神经病变和脊髓病变患者的球海绵体肌反射及阴部神经躯体感觉诱发电位表现 [J]. 中华神经科杂志, 2009, 42(11): 762-764.
[4] 牛晓婷, 邵蓓, 倪佩琦, 等. 女性糖尿病患者的阴部神经电生理表现[J]. 中国临床神经科学, 2009, 17(1): 22-25.
[5] 邵蓓, 倪佩琦, 王汛, 等. 女性海绵体肌反射临床应用初探 [J]. 临床神经电生理学杂, 2007, 16(1): 23-25.
[6] 邵蓓, 倪佩琦, 王汛, 等. 海绵体肌反射在神经系统病变定位诊断中的应用[J]. 中国神经科学杂志, 2003, 19(2): 102-104.
[7] 邵蓓, 王汛, 李澄棣, 等. 海绵体肌反射及阴茎背神经体感诱发电位在神经系统疾病中的应用[J]. 中华神经科杂志, 2002, 35(6): 388.
[8] 邵蓓, 王汛, 李澄棣, 等. 心因性阳痿患者的神经电生理表现[J].临床神经电生理学杂志, 2002, 11(3): 150-151.
[9] 王汛, 邵蓓, 倪佩琦, 等. 海绵体肌反射及阴茎背神经躯体感觉诱发电位的正常值分析[J]. 浙江医学, 2002, 24(8): 507- 508.
[10] 倪佩琦, 王汛, 牛晓婷, 等. 女性球海绵体肌反射及阴部神经躯体感觉诱发电位的正常值分析[J]. 温州医学院学报, 2011, 41(1): 65-67.
[11] Olapade-Olaopa EO, Morley RN, Carter CJ, et al. Diabetic cystopathy presenting as primary acute urinary rentention in a previously undiag-nosed young male diabetic patient [J]. J Diabetes Complications, 1997, 11(6): 350-351.
[12] Siracusano S, d扐loia G, Lentini MG, et al. Diabetic cystopathy[J]. J Diabetes Nutr Meta, 2002, 15 (1): 41-44.
[13] Ellenberg M. Development of urinary bladder dysfunction in diabetes Mellitus[J]. Ann of intern med, 1980, 92(2): 321-323.
[14] 游甦, 王新民, 古美华, 等. 周围神经传导速度对糖尿病神经源性膀胱的临床价值[J]. 中国临床康复, 2003, 7(12): 1779- 1780.

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