送交者: 羽矢 于 2011-10-11, 00:24:02:
回答: babyfat，你捞了个正常人腹压排尿的稻草，问错了最重要的问题 由 羽矢 于 2011-10-10, 23:58:25:
肌松药的问题，至少Beaumont医院早就知道了，患者术前就开始减肌松药：
http://xysblogs.org/xysergroup/archives/7146
They were asked to cut it by 1/3 a week prior to surgery, they will cut again in 3 months and completely stop at 6
反过来说，停用这种药物很可能对大便有利。据NYU的Christopher E Kelly说：
"We postulate two possible reasons for the improved bowel function," observed Dr. Kelly. "It may be secondary to discontinuation of anticholinergic medication or reinnervation of the large bowel parasympathetic ganglion."
你关于“现在的情况”的说法不完整：
后半句，“临床效果仍在持续好转”应该改成：两个最差的患者“失访”（http://www.xys.org/forum/db/9/64/144.html）后，绝大多数患者习惯了腹压排尿valsalva to void，尿得比以前多了。
这方面的确持续好转：“4 (5) of 7 off catheterization”。估计改用尿布了：“Incontinence still problem in most ... 6/7 leak urine”。
再加上边教授的评价：“从趋势来看，有效率在下降。这次又有一个病人变无效了。”