论文部分内容阅读
目的探讨急性大脑半球梗死后患者尿失禁与失语、病灶部位、认知功能及日常生活能力关系。方法１５４例急性大脑半球梗死患者在入院后４８小时内测定简易精神状态（ＭＭＳ）和日常生活活动能力（ＡＤＬ），１个月后复查。５３例尿失禁者做Ｂ超检查。结果３４４％的患者伴尿失禁，左半球病变的尿失禁率（４３２％）高于右半球病变（２２６％）（Ｐ＜００１）。同侧皮层＋皮层下梗死的尿失禁率为６５７％。尿失禁者失语率（７３６％）高于无尿失禁者（Ｐ＜０００１）。入院时和１个月后尿失禁者ＭＭＳ和ＡＤＬ都比无尿失禁者低（Ｐ＜０００１）。结论脑梗死伴失语时常不能正确表达排尿而引起尿失禁。认知障碍和日常生活能力下降是尿失禁的重要因素，随ＭＭＳ和ＡＤＬ值升高，尿失禁也消失。
Objective To investigate the relationship between urinary incontinence and aphasia, lesion location, cognitive function and daily living ability in patients with acute cerebral hemisphere infarction. Methods 154 patients with acute cerebral infarction were assessed for mental state (MMS) and daily living activity (ADL) within 48 hours after admission and were reviewed after 1 month. 53 cases of urinary incontinence who do B-ultrasound. Results 34.4% patients had urinary incontinence, urinary incontinence rate in left hemisphere lesions was higher than that in right hemisphere lesions (43.6%) (P <001). The ipsilateral cortical + subcortical infarction rate of urinary incontinence was 65.7%. The rate of aphasia in urinary incontinence (736%) was higher than that in urinary incontinence (P0001). MMS and ADL were lower in patients with urinary incontinence than those without urinary incontinence at admission and one month after admission (P <0001). Conclusions Cerebral infarction with aphasia often can not correctly express urination and cause urinary incontinence. Cognitive impairment and loss of daily living are important factors of urinary incontinence. With the increase of MMS and ADL, urinary incontinence also disappears.