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目的探讨急性脑血管病患者的膀胱与直肠功能的改变。方法对急性脑血管患者在发病11周内行尿动力学检查及直肠功能检查,对尿流率和尿流量的曲线图进行分析,分别计算尿道阻力因子(URA)和反映膀胱逼尿能力的瓦特因子(WF)值。结果急性脑血管患者29例,男16例,女13例,平均年龄(65.7±5.9)岁,其中脑出血10例,脑梗死19例。最大尿流率、平均尿流率、尿流时间、排尿时间、达峰时间、尿流量、2秒时的尿流率、加速度、最大尿流率时压力、最大压力时尿流和膀胱容积等指标在急性脑血管患者中异常率达40%～100%之间,脑梗死与脑出血间无显著统计学差异(P>0.05)。URA在患者中增高,而WF值均降低,较正常对照相比有显著统计学(P<0.05)。均有便意感知的减弱与排便压的下降。结论膀胱与直肠功能障碍在急性脑血管病的急性期广泛存在。
Objective To investigate the changes of bladder and rectal function in patients with acute cerebrovascular disease. Methods The patients with acute cerebrovascular disease underwent urodynamic examination and rectal function examination within 11 weeks after the onset of disease. The curves of urinary flow rate and urinary flow were analyzed, and the urethral resistance factor (URA) and the wattage factor (WF) value. Results 29 patients with acute cerebrovascular disease, 16 males and 13 females, with an average age of (65.7 ± 5.9) years, including 10 cases of cerebral hemorrhage and 19 cases of cerebral infarction. Maximum flow rate, average flow rate, urinary flow time, urination time, peak time, urinary flow, urinary flow rate at 2 seconds, acceleration, pressure at maximal uroflow rate, urinary flow and bladder volume at maximal pressure The index of patients with acute cerebrovascular disease in the abnormal rate of 40% to 100%, no significant difference between cerebral infarction and intracerebral hemorrhage (P> 0.05). URA increased in patients, while WF decreased, compared with the normal control was statistically significant (P <0.05). Both have a sense of weakening and decreased defecation pressure. Conclusions Bladder and rectal dysfunction are widespread in the acute stage of acute cerebrovascular disease.