[1]蔡文智,王丽,郭丽,等.脑卒中后便秘与脑损伤相关因素分析[J].南方医科大学学报,2013,(01):117.
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脑卒中后便秘与脑损伤相关因素分析()
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《南方医科大学学报》[ISSN:/CN:]

卷:
期数:
2013年01期
页码:
117
栏目:
出版日期:
2013-01-15

文章信息/Info

Title:
Correlation analysis between post-stroke constipation and brain injury
作者:
蔡文智王丽郭丽王静新张晓梅曹文静盛小燕
关键词:
脑卒中便秘脑损伤
Keywords:
stroke constipation brain injury
摘要:
:目的了解脑卒中后便秘的发生率,并探讨其与脑损伤相关因素的关系。方法采用便利抽样方法,对广州市10家医院的
723例脑卒中住院患者进行问卷调查,包括人口统计学资料、脑损伤相关因素、排便情况、既往史等项目。结果723 例调查对象
中便秘者共有250 例,总发生率为34.6%,其中缺血性卒中便秘的发生率为31.0%,出血性卒中为44.8%,缺血合并出血为
47.4%,3种类型脑卒中患者的便秘发生率的差异存在统计学意义(χ2=12.369,P=0.002);按卒中时期,急性期发生率为41.9%,恢
复期31.5%,后遗症期22.6%,3个时期便秘发生率的总体比较差异有统计学意义(χ2=24.421,P<0.001);以损伤部位而言,基底节
区脑卒中者便秘发生率45.1%,明显高于非基底节卒中者24.7%(P<0.001);脑损伤相关多因素分析显示:卒中类型、卒中时期、
病灶数及基底节是脑卒中后便秘的影响因素。结论脑卒中患者急性期常发生便秘,以脑出血类型为主,大脑基底节区受损者
便秘发生率较非基底节区高。
Abstract:
Objective To investigate the incidence of constipation after stroke and explore the relationship between post-stroke
constipation and brain injury. Methods Using a self-designed questionnaire, we collected the general information of 723
inpatients from 10 hospitals in Guangzhou, including the general demographic information, related factors of brain injury,
defecation and previous history. Results The total incidence of post-stroke constipation was 34.6% in these patients. The
incidence of constipation was 31.0% in ischemic stroke patients, 44.8% in hemorrhagic stroke patients, and 47.4% in patients
with cerebral hemorrhage and infarction, showing a significant difference between stroke types (χ2=12.369, P=0.002). In terms
of stages following stroke, the incidence was 41.6% in the acute phase, 31.5% in the recovery phase, and 22.6% in the sequelae
phase. In light of lesion locations, the incidence was significantly higher in patients with basal ganglia involvement than in
those without (P<0.001). Logistic multivariate analyses showed that stroke type, post-stroke stage, lesion number and basal
ganglia involvement were significantly associated with the incidence of constipation. Conclusion Constipation often occurs in
the acute stage following stroke (especially hemorrhagic stroke), and the incidence is higher in patients with basal ganglia
involvement.

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更新日期/Last Update: 1900-01-01