CAJ | 학술논문

目的：探索急性脑梗死并发排便困难的危险因素。方法363例急性脑梗死患者依有无排便困难分为2组，比较组间性别、年龄、美国国立卫生院神经功能缺损(NIHSS)评分、卧床时间、汉密尔顿评分的差异。分别依年龄是否≥60岁、NIHSS 评分是否≥3分、卧床时间是否>7天、汉密尔顿评分是否>20分分组，比较两组间在有无排便困难的差异有无统计学意义。分析年龄、NIHSS 评分、卧床时间、汉密尔顿评分与排便困难的相关性。结果无排便困难组的年龄、NIHSS 评分、卧床时间、汉密尔顿评分均显著小于有排便困难组(P <0.05)。年龄≥60岁、NIHSS评分≥3分、卧床时间>7天、汉密尔顿评分>20分的组中有排便困难者均显著增多(P <0.05)。Spearman 秩和检验显示年龄、NIHSS 评分、卧床时间、汉密尔顿评分均与排便困难呈显著正相关(均 P <0.05)。结论高龄、严重偏瘫、长期卧床、抑郁可能是脑梗死患者并发排便困难的危险因素。
목적：탐색급성뇌경사병발배편곤난적위험인소。방법363례급성뇌경사환자의유무배편곤난분위2조，비교조간성별、년령、미국국립위생원신경공능결손(NIHSS)평분、와상시간、한밀이돈평분적차이。분별의년령시부≥60세、NIHSS 평분시부≥3분、와상시간시부>7천、한밀이돈평분시부>20분분조，비교량조간재유무배편곤난적차이유무통계학의의。분석년령、NIHSS 평분、와상시간、한밀이돈평분여배편곤난적상관성。결과무배편곤난조적년령、NIHSS 평분、와상시간、한밀이돈평분균현저소우유배편곤난조(P <0.05)。년령≥60세、NIHSS평분≥3분、와상시간>7천、한밀이돈평분>20분적조중유배편곤난자균현저증다(P <0.05)。Spearman 질화검험현시년령、NIHSS 평분、와상시간、한밀이돈평분균여배편곤난정현저정상관(균 P <0.05)。결론고령、엄중편탄、장기와상、억욱가능시뇌경사환자병발배편곤난적위험인소。
Objective To study risk factors of difficult defecation in acute cerebral infarction(ACI).Methods The study involved 363 ACI patients who were divided into two groups according to difficult defecation or not,and comparison was made between two groups in gender,age,National Institutes of Health Stroke Scale(NIHSS),time in bed and Hamilton score.According to whether age ≥60 years,NIHSS score ≥3,time in bed >7 days and Hamilton score >20,the comparison was made between two groups,respectively.The relationships were analyzed respectively between difficult defecation and age,NIHSS score,time in bed and Hamilton score.Results The age,NIHSS score, time in bed and Hamilton scores of no difficult defecation group were significantly less than those of difficult defecation group(P < 0.05 ).Difficult defecation was more common in ≥ 60 years,NIHSS score ≥ 3,bed time > 7 days and Hamilton score >20 scores (P <0.05).Significantly positive relationships were found between defecation difficulties and age,NIHSS score,time in bed and Hamilton scores (P < 0.05 ).Conclusion Probably,advanced age,severe paralysis,long-term bed and depression were risk factors of defecation difficulties in ACI patients.