Sacral reflexes are important to allow the SCI practitioner to gain information about the state of the sacral spinal cord segments. The presence of the bulbocavernosus and/or the anal wink reflex indicate an intact spinal reflex arc and reflex conal autonomic function (as part of the upper motor neuron syndrome); their absence defines a lower motor neuron syndrome. The assessment of sacral reflexes helps predict the type of bladder, bowel and sexual functions and the related therapeutic interventions. We suggest adding the sacral component of the International Standards for the Assessment of Autonomic Function after SCI (ISAFSCI) to the International Standards for the Neurologic Classification of Spinal Cord Injury (ISNCSCI) examination so there can be a detailed description of these important functions. As an alternative, the performance of sacral reflexes should be routinely required as part of the neurologic examination after SCI. Whether the sacral motor neuron system is classified as upper or lower motor neuron injury is also quite useful and as such should be present in the ISCNSCI.

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骶骨检查——如何才能最好地护理我们的患者？

骶神经反射对于 SCI 医生获取有关骶脊髓节段状态的信息非常重要。球海绵体肌和/或肛门眨眼反射的存在表明脊髓反射弧和反射锥自主神经功能完整（作为上运动神经元综合征的一部分）；它们的缺失定义了下运动神经元综合征。骶反射的评估有助于预测膀胱、肠道和性功能的类型以及相关的治疗干预措施。我们建议将脊髓损伤后自主功能评估国际标准（ISAFSCI）中的骶骨部分添加到脊髓损伤神经学分类国际标准（ISNCSCI）检查中，以便可以对这些重要功能进行详细描述。作为替代方案，骶反射的表现应作为 SCI 后神经系统检查的一部分常规要求。骶运动神经元系统是否被分类为上运动神经元损伤或下运动神经元损伤也非常有用，因此应该出现在 ISCNSCI 中。