脑梗死急性期患者便秘现状及其影响因素分析  

Analysis of the Current Status and Influencing Factors of Constipation in Patients With Acute Phase of Cerebral Infarction

作　　者：罗清清 陈欣彦[1] LUO Qingqing;CHEN Xinyan(Department of Neurology,Fujian Medical University Union Hospital,Fuzhou Fujian 350000,China)

机构地区：[1]福建医科大学附属协和医院神经内科,福建福州350000

出　　处：《中国卫生标准管理》2024年第17期135-139,共5页China Health Standard Management

摘　　要：目的探讨脑梗死急性期患者便秘现状及其影响因素。方法选取2021年9月—2022年9月福建省某三甲医院符合纳入标准的222例脑梗死急性期患者作为研究对象。调查患者的一般资料、神经功能缺损情况、负性情绪、血常规、血生化及排便情况等,分析患者便秘现状及其影响因素。结果脑梗死急性期患者便秘发生率为36%。单因素分析结果显示,年龄、偏瘫、吞咽困难、插胃管、焦虑、抑郁、神经功能缺损状况、C-反应蛋白(C-reactive protein,CRP)、糖化血红蛋白水平(glycosylated hemoglobin,HbA1c)等是便秘的危险因素。二元logistics回归分析结果显示,年龄、焦虑是便秘的独立危险因素。受试者工作特征曲线(receiver operating characteristic curve,ROC curve)显示,本次二元logistic回归模型具有良好的区分度。结论脑梗死急性期患者的便秘发生率处于中等水平。临床医务人员可根据患者便秘的危险因素采取相关的措施,预防便秘的发生,以减少便秘给患者带来的不良影响。Objective To investigate the current status and influencing factors of constipation in patients with acute phase of cerebral infarction.Methods A total of 222 patients with acute phase of cerebral infarction who met the inclusion criteria in a tertiary hospital in Fujian province from September 2021 to September 2022 were selected as the study subjects.The general information,neurological deficits,negative emotions,blood routine,blood biochemistry and defecation of patients were investigated,and the status of constipation and its influencing factors were analyzed.Results The incidence of constipation in patients with acute phase of cerebral infarction was 36%.Univariate analysis showed that age,hemiplegia,dysphagia,gastric tube insertion,anxiety,depression,neurological deficit,C-reactive protein(CRP)and glycosylated hemoglobin(HbA1c)levels were risk factors for constipation.Binary logistic regression analysis showed that age and anxiety were independent risk factors for constipation.The receiver operating characteristic curve(ROC curve)showed that the binary logistic regression model had good discrimination.Conclusion The incidence of constipation in patients in the acute phase of cerebral infarction is at a moderate level.Clinical medical staff can take relevant measures according to the risk factors of constipation in patients to prevent the occurrence of constipation and reduce the adverse effects of constipation on patients.

关 键 词：脑梗死 便秘 急性期 发生率 影响因素 危险因素 

分 类 号：R459[医药卫生—治疗学]