CAJ | 학술논문

目的评价脑卒中后尿失禁(UI)的发生对脑卒中1年结局的影响.方法采用前瞻性对照研究方法连续收集急性脑卒中患者130例,按发病1～10 d有无UI分为UI组和非UI组,比较2组的基线特征,采用多变量分析了解发生UI的危险因素和UI与1年结局的相关性.结果 UI组中全前循环综合征(TACS)患者例数及其国立卫生研究院卒中量表(NIHSS)评分均显著高于非UI组(P＜0.01),与病初UI显著相关(OR=4.52;OR=7.15);UI组的1年病死率、ADL中度以上依赖患者数和改良Rankin量表(mRS)评分达2～5分的患者数均显著高于非UI组(P＜0.01);除年龄＞75岁、牛津郡社区(OCSP)卒中项目分型、病初NIHSS评分外,病初UI亦与脑卒中1年结局独立相关(OR=7.0).结论存在TACS和病初NIHSS评分高的脑卒中患者容易发生UI,病初发生UI可预示脑卒中1年结局不良,应当加强治疗.
목적 평개뇌졸중후뇨실금(UI)적발생대뇌졸중1년결국적영향.방법 채용전첨성대조연구방법련속수집급성뇌졸중환자130례,안발병1～10 d유무UI분위UI조화비UI조,비교2조적기선특정,채용다변량분석료해발생UI적위험인소화UI여1년결국적상관성.결과 UI조중전전순배종합정(TACS)환자례수급기국립위생연구원졸중량표(NIHSS)평분균현저고우비UI조(P＜0.01),여병초UI현저상관(OR=4.52;OR=7.15);UI조적1년병사솔、ADL중도이상의뢰환자수화개량Rankin량표(mRS)평분체2～5분적환자수균현저고우비UI조(P＜0.01);제년령＞75세、우진군사구(OCSP)졸중항목분형、병초NIHSS평분외,병초UI역여뇌졸중1년결국독립상관(OR=7.0).결론 존재TACS화병초NIHSS평분고적뇌졸중환자용역발생UI,병초발생UI가예시뇌졸중1년결국불량,응당가강치료.
Objective To evaluate the relationship between post-stroke urinary incontinence(UI)and 1 year stroke outcomes.Methods One hundred and thirty consecutive cerebral stroke survivors were classified into 2 groups according to their incontinence status at 1 to 10 d after onset.The patients'baseline characteristics,1 year mortality rate,abilities in the activities of daily living(ADL)and Modified Rankin Scale(mRS)scores were compared.Multivariate analysis was applied to highlight UI risk factors and correlations between UI and 1 year outcomes.Results Total anterior circulation syndrome(TACS)numbers and National Institutes of Health stroke assessment (NIHSS)scores in the UI group exceeded significantly those in the non-UI group,and both were significantly associated with initial UI.The 1 year mortality rate,patients'ADL dependence and mRS scores in the UI group exceeded those in the non-UI group significantly.Initial UI was also significantly associated with the 1 year outcome independently,as well as with age＞75 years,Oxfordshire Community Stroke Project(OCSP)classification and initial NIHSS score.Conclusion UI is common in the patients with TACS and higher initial NIHSS scores.Initial UI predicts a poor 1 year outcome,SO treatment should be strengthened.