CAJ | 학술논문

目的了解脑卒中患者住院期间便秘及认知功能情况,并探讨其相关性.方法本研究是横断面研究,采用便利抽样方法对广州市10家医院的723例脑卒中住院患者进行调查,采取自制问卷调查人口统计学资料、卒中情况、排便情况,采用简易精神智力量表(mini-mental state examination,MMSE)了解认知障碍情况.结果本组患者脑卒中后便秘及脑卒中后认知障碍(post-stroke cognitive dysfunction,PSCD)发生率分别为34.6％、62.4％,其中缺血性卒中便秘的发生率为31.0％,出血性卒中为44.8％,出血合并梗死便秘发生率为47.4％,3种类型脑卒中患者的便秘发生率比较差异有统计学意义;按卒中时期,急性期便秘发生率为41.9％,恢复期31.5％,后遗症期22.6％,3个时期便秘发生率比较差异有统计学意义.便秘组MMSE评分显著低于非便秘组,尤其在定向力、即刻记忆、注意力及计算力、阅读及表达之间比较差异有统计学意义,其中以表达的相关性最强;不同程度认知障碍患者的便秘发生率比较差异显著,且两者间呈显著正相关,其中轻、中、重度认知障碍便秘发生的危险性是正常者的1.519、2.879、3.064倍.结论存在认知障碍的脑卒中患者更容易发生便秘,提示医护人员在诊治和护理工作中,应及早关注认知功能的改变,并采取预防及治疗性措施.
목적 료해뇌졸중환자주원기간편비급인지공능정황,병탐토기상관성.방법 본연구시횡단면연구,채용편리추양방법대엄주시10가의원적723례뇌졸중주원환자진행조사,채취자제문권조사인구통계학자료、졸중정황、배편정황,채용간역정신지역량표(mini-mental state examination,MMSE)료해인지장애정황.결과 본조환자뇌졸중후편비급뇌졸중후인지장애(post-stroke cognitive dysfunction,PSCD)발생솔분별위34.6％、62.4％,기중결혈성졸중편비적발생솔위31.0％,출혈성졸중위44.8％,출혈합병경사편비발생솔위47.4％,3충류형뇌졸중환자적편비발생솔비교차이유통계학의의;안졸중시기,급성기편비발생솔위41.9％,회복기31.5％,후유증기22.6％,3개시기편비발생솔비교차이유통계학의의.편비조MMSE평분현저저우비편비조,우기재정향력、즉각기억、주의력급계산력、열독급표체지간비교차이유통계학의의,기중이표체적상관성최강;불동정도인지장애환자적편비발생솔비교차이현저,차량자간정현저정상관,기중경、중、중도인지장애편비발생적위험성시정상자적1.519、2.879、3.064배.결론 존재인지장애적뇌졸중환자경용역발생편비,제시의호인원재진치화호리공작중,응급조관주인지공능적개변,병채취예방급치료성조시.
Objective To understand the status of cognitive dysfunction among new onset constipation after stroke and to explore the relationship between them.Methods With a self-designed questionnaire,the general information of 723 inpatients from 10 hospitals in Guangzhou were collected,including general demographic information,stroke situation,defecation situation and Mini-mental State Examination (MMSE)etc.Results The incidence of new-onset constipation,cognitive dysfunction(PSCD)after stroke was respectively 34.6％ and 62.4％.Among whom 31.0％ in ischemic stroke,44.8％ in hemorrhagic stroke,47.4％ in cerebral hemorrhage and infarction.There was statistical significance between stroke type and constipation,and ischemic stroke had statistical significance compared to other two types.During the acute phase reached 41.6％,the recovery phase 31.5％ and the sequelae phase 22.6％.The rates of constipation patients with cognitive dysfunction were higher than patients without cognitive dysfunction,and the difference in directional force,memory,attention and calculation force,reading and expression was statistically significant respectively,among which expression was the most relevant.The difference in the incidence of constipation among different cognitive dysfunction groups was statistically significant,and they were positively correlated,compared with normal cognitive function,the light,medium and severe cognitive dysfunction was 1.519,2.879,3.064 times respectively.Conclusions Medical staff need to be alerted to the possibility that patients with impared cognitive function may be at greater risk of constipation.The preventive and treatment measures should be emphasized in order to improve patients' cognitive function.