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目的探讨急性缺血性脑卒中后尿失禁的危险因素。方法收集2014年5月至2014年10月在广州市5家三级甲等医院神经内科病房住院的594例急性缺血性脑卒中患者,采用Logistic回归分析影响急性缺血性脑卒中后尿失禁发生的因素。结果急性缺血性脑卒中后尿失禁的发生率为37.7%。多因素分析显示,BI评分、病变部位、患者文化程度、照顾者是影响急性缺血性脑卒中后尿失禁发生的独立危险因素。结论 BI评分低、额叶病变、颞叶病变、患者文化程度为小学及以下、护工陪护的急性缺血性脑卒中患者易发生尿失禁,临床工作中对高危人群予以重点关注,开展有针对性的干预。
Objective To investigate the risk factors of urinary incontinence after acute ischemic stroke. Methods A total of 594 patients with acute ischemic stroke who were hospitalized in the neurology ward of five Grade-3 Hospitals in Guangzhou from May 2014 to October 2014 were collected. Logistic regression analysis was used to analyze the influence of urinary incontinence after acute ischemic stroke What happened. Results The incidence of urinary incontinence after acute ischemic stroke was 37.7%. Multivariate analysis showed that BI score, lesion location, patient’s education and caregivers were independent risk factors of urinary incontinence after acute ischemic stroke. Conclusions BI score is low, frontal lobe lesions, temporal lobe lesions, patients with primary education and below, nursing care workers accompanying acute ischemic stroke patients prone to urinary incontinence, clinical work should be focused on high-risk groups, to carry out targeted Interventions.