《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (9): 813-814.

• 论文 • 上一篇    下一篇

脑卒中后尿失禁的临床研究

芦海涛1，2，山磊1，2，杨凌宇1，2，张通1，2   

  1. 1.中国康复研究中心北京博爱医院神经内科，北京市 100068；2.首都医科大学康复医学院，北京市 100068。
  • 收稿日期:2010-03-30 修回日期:2010-08-13 出版日期:2010-09-25 发布日期:2010-09-25
  • 通讯作者: 张通

Features of Stroke Patients with Urinary Incontinence in Convalescent Stage

LU Hai-tao, SHAN Lei, YANG Ling-yu   

  1. Department of Neurology, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2010-03-30 Revised:2010-08-13 Published:2010-09-25 Online:2010-09-25

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被引次数

26

摘要： 目的研究脑卒中恢复期尿失禁的发生率、相关因素及不同临床表现尿失禁的比较。方法选取脑卒中恢复期患者176例，根据排尿情况分为尿失禁组和控制组，又将尿失禁患者分为有排尿意愿组和无排尿意愿组，进行回顾性分析。结果脑卒中恢复期尿失禁发生率26.1%，失禁组与控制组在性别、卒中类型及病灶侧别、部位方面无显著性差异，但在病灶单/多发方面有显著性差异（P<0.05）。有排尿意愿组和无排尿意愿组在病灶累及顶叶及认知功能方面有显著性差异（P<0.05）。结论脑卒中恢复期尿失禁高发于有多病灶患者，无排尿意愿尿失禁患者多累及顶叶，认知功能异常

关键词: 脑卒中, 尿失禁, 排尿意愿受损性尿失禁

Abstract: ObjectiveTo analyze the prevalence of urinary incontinence in stroke patients in the convalescent stage, and the characteristics of different type of incontinence. Methods176 stroke patients in the convalescent stage were classified as urinary incontinence and continence, the former were classified as with and without awareness of the need to void. Their features were reviewed. ResultsThe incidence of urinary incontinence was 26.1%. No differences were observed for sex, types, and locations of the focus. There was statistic difference of the single/multiple lesions between the incontinence and the continence （P<0.05）. There was statistic difference in parietal lobe lesions and cognitive dysfunction among the patients with and without awareness of the need to void （P<0.05）. ConclusionThe urinary incontinence in stroke patients in the convalescent stage tend to occur in the patients with multiple lesions, and those without awareness of the need to void is associated with parietal lobe and the cognitive dysfunction.

Key words: stroke, urinary incontinence, impaired awareness of the need to void urinary incontinence