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术后的功能性尿瀦留,系由于支配膀胱之交感神经及副交感神经间的平衡失调所致,膀胱之平滑肌呈过度紧张时,而同时括约肌可以发生反射性痉癴,两者互成一恶性循环。 应用罂粟硷及颠茄混合物,能使此情况改善,颠茄主要抑制副交感神经的作用,使括约肌放松,罂粟硷则使平滑肌松弛,降低膀胱的张力,此时括约肌的痉癴亦行解除而开放,过度充满的膀胱得以排空。 作者会试用颠茄肛门塞药治疗了100例妇科术后发生功能性尿瀦留的病人。颠茄肛门塞药之制剂
Postoperative functional urinary retention is due to the imbalance between the sympathetic and parasympathetic nerves that control the bladder. When the smooth muscle of the bladder is over-stressed, the spasm of the sphincter reflex occurs at the same time, causing a vicious circle between the two. Application of papaverine and belladonna mixture can make the situation improved, belladonna inhibit the main role of parasympathetic, sphincter relaxes, papaverine smooth muscle relaxation, reducing bladder tension, when the spasm of the sphincter also release and open , Over-filled bladder can be emptied. The author will try Belladonna anal plug drug treatment of 100 cases of patients with functional urinary retention after gynecological surgery. Belladonna anal plug medicine formulations