ObjectiveTo study related factors for urinary and fecal incontinence in post-stroke patients, in order to present targeted treatment and effective care. MethodsWith continuous sampling methods, we prospectively evaluated 257 stroke patients admitted to our hospital from August 2010 to October 2012, and had the clinical features form completely filled. All statistical analysis was performed using SPSS 19.0. ResultsUrinary and fecal incontinence rate was 16.7%. Univariate analysis showed that the related factors for the incidence of urinary and fecal incontinence in post-stroke patients included the onset of disturbance of consciousness, disability to sit up or stand two hours after the onset, being complicated with pulmonary infection or ventricular dysfunction, complications, and constipation. A multivariate analysis identified three factors to be independently associated with urinary and fecal incontinence in post-stroke patients, including disturbance of consciousness[OR=4.186, 95%CI (2.010, 8.715), P<0.001], being complicated with pulmonary infection[OR=3.490, 95%CI (1.616, 7.539), P=0.001] and age[OR=1.036, 95%CI (1.004, 1.069), P=0.029]. ConclusionPost-stroke patients are most likely to develop urinary and fecal incontinence, and disturbance of consciousness, being complicated with pulmonary infection and age are three independent factors.
目的 研究美国国立卫生院脑卒中量表(NIHSS)评分、格拉斯哥昏迷评分(GCS)及指数记分法(BI)量表,预测脑梗死患者发病3个月后二便障碍预后的有效性。 方法 采取队列研究,登记2010年9月-2011年10月入院的脑梗死患者性别、年龄、婚姻、民族、职业,由脑卒中护士全面评定NIHSS评分、GCS评分、BI量表等指标。3个月后回访患者二便障碍恢复情况。 结果 分析显示NIHSS评分、GCS评分分值与脑梗死发病后3个月二便障碍恢复相关,BI量表评分分值与脑梗死发病后3个月二便障碍恢复无关。 结论 NIHSS评分、GCS评分分值可以预测脑梗死患者二便障碍恢复情况及预后情况,具有预测有效性。