本文選題：輕型卒中 + 排便障礙　； 參考：《實(shí)用醫(yī)學(xué)雜志》2017年22期

【摘要】：目的觀察輕型缺血性腦卒中患者急性期排便障礙的發(fā)生率和影響因素,并探討相關(guān)危險(xiǎn)因素對(duì)患者預(yù)后的影響。方法回顧性分析274例首發(fā)輕型卒中患者的臨床資料,根據(jù)是否存在卒中后排便障礙將其分為排便障礙組與非排便障礙組,對(duì)可能影響卒中后排便障礙的因素進(jìn)行單因素、多因素logistic回歸分析,并分析這些因素對(duì)排便障礙患者預(yù)后的影響。結(jié)果 274例輕型卒中患者發(fā)生排便障礙74例,發(fā)生率為27.0%,單因素分析顯示基線NIHSS評(píng)分等4個(gè)因素為輕型卒中后排便障礙的危險(xiǎn)因素,多因素分析顯示女性、高齡、糖尿病、基線NIHSS評(píng)分為卒中后排便障礙的獨(dú)立危險(xiǎn)因素;伴排便障礙的輕型卒中患者3個(gè)月改良Rankin量表(mRS)差異明顯(P0.05),基線NIHSS評(píng)分可預(yù)測(cè)輕型卒中后排便障礙患者的預(yù)后。結(jié)論輕型卒中患者急性期排便障礙可能增加患者不良預(yù)后的風(fēng)險(xiǎn),女性、高齡、糖尿病、神經(jīng)功能缺損嚴(yán)重更容易發(fā)生卒中后排便障礙,值得臨床工作者重視。
[Abstract]:Objective to observe the incidence and influencing factors of defecation disorder in mild ischemic stroke patients and to explore the influence of related risk factors on prognosis. Methods the clinical data of 274 patients with first-onset mild stroke were retrospectively analyzed. According to the existence of poststroke defecation disorder, the patients were divided into defecation disorder group and non-defecation disorder group. Multivariate logistic regression analysis was used to analyze the influence of these factors on the prognosis of patients with defecation disorder. Results 74 cases (27.0%) of defecation disorder occurred in 274 patients with mild stroke. Univariate analysis showed that baseline NIHSS score was the risk factor of defecation disorder after mild stroke, and multivariate analysis showed that female, old age, diabetes mellitus. Baseline NIHSS score was an independent risk factor for defecation disorder after stroke, and the modified Rankin scale mRS3 months was significantly different in mild stroke patients with defecation disorder (P 0.05). Baseline NIHSS score could predict the prognosis of patients with defecation disorder after mild stroke. Conclusion Acute defecation disorder in mild stroke patients may increase the risk of poor prognosis. Women, old age, diabetes mellitus and neurological impairment are more likely to occur post-stroke defecation disorder, which deserves attention of clinical workers.
【作者單位】： 蘇州大學(xué)附屬第一醫(yī)院神經(jīng)內(nèi)科;
【基金】：江蘇省青年醫(yī)學(xué)人才項(xiàng)目(編號(hào):QNRC2016729) 蘇州市民生科技項(xiàng)目(編號(hào):SYS201607)
【分類號(hào)】：R743.3
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本文編號(hào)：1964116