急性脑血管病患者的尿流动力学及直肠功能检查  

The Tests of Urodynamics and Rectal Function in Patients with Acute Cerebrovascular Disease

作　　者：靳峥[1] 李煜珍[1] 杨立刚[1] 张燕宾[2] 任传成[1] 

机构地区：[1]复旦大学附属上海市第五人民医院神经内科,上海200240 [2]复旦大学附属上海市第五人民医院泌尿外科,上海200240

出　　处：《神经病学与神经康复学杂志》2009年第2期107-110,共4页Journal of Neurology and Neurorehabilitation

摘　　要：目的探讨急性脑血管病患者的膀胱与直肠功能的改变。方法对急性脑血管患者在发病11周内行尿动力学检查及直肠功能检查,对尿流率和尿流量的曲线图进行分析,分别计算尿道阻力因子(URA)和反映膀胱逼尿能力的瓦特因子(WF)值。结果急性脑血管患者29例,男16例,女13例,平均年龄(65.7±5.9)岁,其中脑出血10例,脑梗死19例。最大尿流率、平均尿流率、尿流时间、排尿时间、达峰时间、尿流量、2秒时的尿流率、加速度、最大尿流率时压力、最大压力时尿流和膀胱容积等指标在急性脑血管患者中异常率达40%～100%之间,脑梗死与脑出血间无显著统计学差异(P>0.05)。URA在患者中增高,而WF值均降低,较正常对照相比有显著统计学(P<0.05)。均有便意感知的减弱与排便压的下降。结论膀胱与直肠功能障碍在急性脑血管病的急性期广泛存在。Objective To study the functions of cystic and rectal functions in patients with acute cerebrovascular disease. Methods The patients onset within 11 weeks with acute cerebrovascular disease were studied by urodynamics and rectal function analysis. The curves of uroflow ratio and volume were analysed. The value of the factor of urethral resistance and watt factor which indicates pubovesical ability was calculated. Results There were 29 cases of cerebrovascular disease, including 16 males and 13 females, and ...

关 键 词：急性脑血管病 尿流动力学 直肠功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]