臨床神經(jīng)學(xué)：Reproductive behavior

1、 Reproductive behaviorafer spinal cord injuryEpidemiologyIncidence approximately 40 cases per million population in the U.S. or approximately 12,000 new cases each yearPrevalence the number of people who alive in 2012 who have SCI has been estimated to be approximately 270,000 persons(236,000 to 327

2、,000) National Spinal Cord Injury Statistical Center. Spinal cord injury facts and figures at a glanceJ. The journal of spinal cord medicine, 2013, 36(1): 1-2.Epidemiology-TSCI in TianjinA total of 869 patients were included, with an estimated annual incidence was 23.7 per million populations Sex St

3、ructure The male/female ratio was 5.63:1Age structure With a range of 1690 years Nosogenesis Falls were regarded as the leading causes of injury, followed by car accident Ning G Z, Yu T Q, Feng S Q, et al. Epidemiology of traumatic spinal cord injury in Tianjin, ChinaJ. Spinal Cord, 2010, 49(3): 386

4、-390.Anatomy and physiology review -MaleTestis睪丸Epididymis附睪Ductus deferens輸精管Prostate前列腺Scrotum陰囊Anatomy and physiology review - FemaleOvary卵巢Uterine tube輸卵管Uterus子宮Reproductive behaviorPage 8Sexual dysfunction after spinal cord injuryPage 10Sexual dysfunction after spinal cord injury is an extreme

5、ly important issue in the rehabilitation process, related to the physiological, psychological, and maternity. Sense of tradition, Chinese people tend to avoid this problem, so that many patients with spinal cord injury face this predicament and can not get a reasonable rehabilitation.Injury level an

6、d severity of sexual dysfunctionT10 to L2Above the level of spinal cord injury in male and female genitals feeling of total lossDirectly stimulate the reflex erection of the penis or labia reflex hyperemia, vaginal lubrication, clitoral swelling, the reasons for this phenomenon is below the injury l

7、evel of sympathetic and parasympathetic reflexPage 11Injury level and severity of sexual dysfunctionT10 to T12 complete injury Allows sympathetic nerve activity loss, the loss of psychogenic male erectile response and the female vagina and vascular congestion response. If the injury below the spinal

8、 cord sacral segments were not affected, directly stimulate the genitals can produce reflex phenomena.Page 12Injury level and severity of sexual dysfunctionS2 to S4Complete injury genital feeling completely lost, men lose the erection and ejaculation, orgasm through genital stimulationL2 to S1 Is se

9、paration of the reaction, that men can have genital touch and psychogenic erectile, but not coordinated. Both men and women can not be through genital stimulation to orgasm.Page 13Personal Experiences of Pregnancy and Fertility in Individuals with Spinal Cord Injury Pebdani R N, Johnson K L, Amtmann D. Personal Experiences of