[1]栗延伟.脑血管意外女性患者1 a内发生尿失禁危险因素分析[J].新乡医学院学报,2019,36(6):563-565.[doi:10.7683/xxyxyxb.2019.06.016]
 LI Yan-wei.Risk factors of urinary incontinence in female patients with cerebrovascular accident within one year of onset[J].Journal of Xinxiang Medical University,2019,36(6):563-565.[doi:10.7683/xxyxyxb.2019.06.016]
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脑血管意外女性患者1 a内发生尿失禁危险因素分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
36
期数:
2019年6
页码:
563-565
栏目:
临床研究
出版日期:
2019-06-05

文章信息/Info

Title:
Risk factors of urinary incontinence in female patients with cerebrovascular accident within one year of onset
作者:
栗延伟
(新乡医学院第三附属医院神经内二科,河南 新乡 453003)
Author(s):
LI Yan-wei
(Department of Neurology,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,Henan Province,China)
关键词:
脑血管意外患者女性尿失禁危险因素
Keywords:
cerebrovascular accidentpatientsfemaleurinary incontinencerisk factors
分类号:
R743
DOI:
10.7683/xxyxyxb.2019.06.016
文献标志码:
A
摘要:
目的 探讨脑血管意外女性患者1 a内尿失禁的发生情况,并分析其危险因素。方法 选择2013年4月至2016年4月新乡医学院第三附属医院收治的136例脑血管意外女性患者为研究对象。统计全部患者1 a内尿失禁发生率,采用单因素分析和多因素logistic回归分析脑血管意外女性患者1 a内发生尿失禁的相关危险因素。结果 脑血管意外女性患者1 a内发生尿失禁53例(尿失禁组),排尿正常73例(排尿正常组),排尿困难10例(不纳入危险因素分析),尿失禁发生率为39.0%。尿失禁组患者的年龄、额叶及丘脑病变发生率、出血面积、血肿体积、重度失语发生率、中国脑卒中量表评分(CSS)、改良Barthel指数评分(MBI)、功能独立性评定量表(FIM)评分均大于排尿正常组(P<0.05,P<0.01)。多因素logistic回归分析结果显示,伴重度失语、额叶病变及丘脑病变是脑血管意外女性患者1 a内发生尿失禁的独立危险因素(P<0.05)。结论 脑血管意外女性患者1 a内尿失禁发生率较高,重度失语、额叶病变及丘脑病变是其独立危险因素。
Abstract:
Objective To investigate the incidence and risk factors of urinary incontinence in female patients with cerebrovascular accident within one year of onset.Methods One hundred and thirty-six female patients with cerebrovascular accident who were admitted to the Third Affiliated Hospital of Xinxiang Medical University from April 2013 to April 2016 were selected as the study subjects.The incidence of urinary incontinence in all patients within one year of onset was calculated.Risk factors of urinary incontinence in female patients with cerebrovascular accident within one year of onset were analyzed by univariate analysis and multivariate logistic regression.Results There were 53 cases of urinary incontinence (incontinentia urinae group),73 cases of normal urination (normal urination) and 10 cases of dysuria (not included in the analysis of the risk factor) in female patients with cerebrovascular accident within one year of onset.The incidence of urinary incontinence was 39.0%.The age,incidence of frontal lobe and thalamic lesions,bleeding area,hematoma volume,incidence of severe aphasia,neurological impairment score (CSS),modified Barthel index(MBI) score,and functional independence measure (FIM) score of patients in the incontinentia urinae group were more than those in the normal urination group (P<0.05,P<0.01).Logistic multivariate regression analysis showed that severe aphasia,frontal lobe lesions and thalamic lesions were independent risk factors of urinary incontinence in female patients with cerebrovascular accident within one year of onset (P<0.05,P<0.01).Conclusion The incidence of urinary incontinence is high in female patients with cerebrovascular accident within one year of onset.Severe aphasia,frontal lobe lesions and thalamic lesions are the independent risk factors of urinary incontinence.

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更新日期/Last Update: 2019-06-05