急性缺血性脑卒中后尿失禁危险因素的研究  

Risk factors of urinary incontinence after acute ischemic stroke

作　　者：王娟[1] 王思平[1] 张晓梅[2] 蓝宇涛[1] 

机构地区：[1]广东药科大学护理学院,广东广州510310 [2]南方医科大学南方医院,广东广州510515

出　　处：《现代预防医学》2016年第19期3624-3629,共6页Modern Preventive Medicine

基　　金：广东省教育厅青年创新人才类项目(广东药科大学"创新强校工程"资助;2014WQNCX085);广东省应用型人才培养示范专业项目(粤教高函[2015]133号)资助

摘　　要：目的探讨急性缺血性脑卒中后尿失禁的危险因素。方法收集2014年5月至2014年10月在广州市5家三级甲等医院神经内科病房住院的594例急性缺血性脑卒中患者,采用Logistic回归分析影响急性缺血性脑卒中后尿失禁发生的因素。结果急性缺血性脑卒中后尿失禁的发生率为37.7%。多因素分析显示,BI评分、病变部位、患者文化程度、照顾者是影响急性缺血性脑卒中后尿失禁发生的独立危险因素。结论 BI评分低、额叶病变、颞叶病变、患者文化程度为小学及以下、护工陪护的急性缺血性脑卒中患者易发生尿失禁,临床工作中对高危人群予以重点关注,开展有针对性的干预。Objective To explore the risk factors associated with urinary incontinence after acute ischemic stroke. Methods During May 2016 to December 2016, a total of 594 stroke patients from 5 grade three class A hospitals＇ neurology wards in Guangzhou were recruited. Logistic regression analysis was used to analyze the risk factors associated with urinary incontinence after acute ischemic stroke. Results The prevalence rate of urinary incontinence after acute ischemic stroke was 37.7%. Logistic regression analysis showed that independent risk factors for urinary incontinence after acute ischemic stroke included BI scores,stroke lesion,education level, and carcgiver. Conclusion The patients of low BI scores, frontal lobe lesion, temporal lobe lesion,the education level of primary school or below and health care assistant trend to urinary incontinence. These patients should be targeted to give intervention.

关 键 词：急性缺血性脑卒中 尿失禁 危险因素 

分 类 号：R181.32[医药卫生—流行病学]