Related Factors for Urinary and Fecal Incontinence in Post-stroke Patients in Chengdu Area_West China Medical Journal

Authors：

 ZENGYu-ping , YANGRong , ZHANGHui , ZHAOLi-hong

Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

Stroke; Urinary and fecal incontinence; Related factors

DOI：

10.7507/1002-0179.20140639

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Objective To study related factors for urinary and fecal incontinence in post-stroke patients, in order to present targeted treatment and effective care. Methods With continuous sampling methods, we prospectively evaluated 257 stroke patients admitted to our hospital from August 2010 to October 2012, and had the clinical features form completely filled. All statistical analysis was performed using SPSS 19.0. Results Urinary and fecal incontinence rate was 16.7%. Univariate analysis showed that the related factors for the incidence of urinary and fecal incontinence in post-stroke patients included the onset of disturbance of consciousness, disability to sit up or stand two hours after the onset, being complicated with pulmonary infection or ventricular dysfunction, complications, and constipation. A multivariate analysis identified three factors to be independently associated with urinary and fecal incontinence in post-stroke patients, including disturbance of consciousness[OR=4.186, 95%CI (2.010, 8.715), P<0.001], being complicated with pulmonary infection[OR=3.490, 95%CI (1.616, 7.539), P=0.001] and age[OR=1.036, 95%CI (1.004, 1.069), P=0.029]. Conclusion Post-stroke patients are most likely to develop urinary and fecal incontinence, and disturbance of consciousness, being complicated with pulmonary infection and age are three independent factors.

Citation： ZENGYu-ping, YANGRong, ZHANGHui, ZHAOLi-hong. Related Factors for Urinary and Fecal Incontinence in Post-stroke Patients in Chengdu Area. West China Medical Journal, 2014, 29(11): 2121-2124. doi: 10.7507/1002-0179.20140639 Copy

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2.	全國腦血管病會議. 各類腦血管疾病診斷要點[J]. 臨床薈萃, 1988, 29(8):367-368.
3.	Liu M, Wu B, Wang WZ, et al. Stroke in China:epidemiology, prevention, and management strategies[J]. Lancet Neurol, 2007, 6(5):456-464.
4.	Sierra C, Coca A, Schiffrin EL. Vascular mechanisms in the pathogenesis of stroke[J]. Curr Hypertens Rep, 2011, 13(3):200-207.
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7.	Thomas LH, Barrett J, Cross S, et al. Prevention and treatment of urinary incontinence after stroke in adults[J]. Cochrane Database Syst Rev, 2005, 20(3):CD004462.
8.	Patel M, Coshall C, Rudd AG, et al. Natural history and effects on 2-year outcomes of urina incontinence after stroke[J]. Am Heart Assoc, 2001, 32(1):122-127.
9.	Kong KH, Young S. Incidence and outcome of poststroke urinary retention:a prospective study[J]. Arch Phys Med Rehabil, 2000, 81(11):1464-1467.
10.	熊愛民, 唐玉平, 梅志彬, 等. 腦卒中后尿失禁的治療及護理進展[J]. 全科護理, 2010, 8(24):2224-2225.
11.	楊水泉, 馬海生, 鄧之駒. 急性腦梗死后尿失禁與病灶部位、大小的關系[J]. 廣東醫學, 2002, 23(1):79-80.
12.	王建民. 急性腦卒中后排尿障礙的相關因素分析[J]. 中國醫藥科學, 2011, 1(16):174-175.
13.	Patel M, Coshall C, Lawrence E, et al. Recovery from poststroke urinary incontinence:associated factors and impact on outcome[J]. J Am Geriatr Soc, 2001, 49(9):1229-1233.
14.	Nakayama H, J?rgensen HS, Pedersen PM, et al. Prevalence and risk factors of incontinence after stroke. The Copenhagen Stroke Study[J]. Stroke, 1997, 28(1):58-62.
15.	李一鳴, 溫翠琪, 曾少毅. 改良氣囊導尿管用于大便失禁患者的效果觀察[J]. 實用護理雜志, 2003, 19(17):46-46.
16.	杜敢琴, 富奇志, 劉文麗. 腦梗死后尿失禁的預測[J]. 中國臨床康復, 2005, 9(29):10-11.
17.	曲艷霞, 唐偉. 急性腦梗死患者并發尿失禁的臨床分析[J]. 當代醫學, 2011, 17(8):15-16.
18.	吳瑞婷. 綜合護理干預對腦梗死后尿失禁患者排尿功能恢復的影響[J]. 中國醫學創新, 2013(21):67-68.

1. Edwards DF, Hahn M, Dromerick A. Post stroke urinary loss, incontinence and life satisfaction:when does post-stroke urinary loss become incontinence?[J]. Neurourol Urodyn, 2006, 25(1):39-45.
2. 全國腦血管病會議. 各類腦血管疾病診斷要點[J]. 臨床薈萃, 1988, 29(8):367-368.
3. Liu M, Wu B, Wang WZ, et al. Stroke in China:epidemiology, prevention, and management strategies[J]. Lancet Neurol, 2007, 6(5):456-464.
4. Sierra C, Coca A, Schiffrin EL. Vascular mechanisms in the pathogenesis of stroke[J]. Curr Hypertens Rep, 2011, 13(3):200-207.
5. 賈建平. 神經病學[M]. 北京:北京大學醫學出版社, 2004:176.
6. 蘇雅茹, 蔣雨平. 尿失禁與腦血管意外[J]. 中國臨床神經科學, 2003, 11(1):92-94.
7. Thomas LH, Barrett J, Cross S, et al. Prevention and treatment of urinary incontinence after stroke in adults[J]. Cochrane Database Syst Rev, 2005, 20(3):CD004462.
8. Patel M, Coshall C, Rudd AG, et al. Natural history and effects on 2-year outcomes of urina incontinence after stroke[J]. Am Heart Assoc, 2001, 32(1):122-127.
9. Kong KH, Young S. Incidence and outcome of poststroke urinary retention:a prospective study[J]. Arch Phys Med Rehabil, 2000, 81(11):1464-1467.
10. 熊愛民, 唐玉平, 梅志彬, 等. 腦卒中后尿失禁的治療及護理進展[J]. 全科護理, 2010, 8(24):2224-2225.
11. 楊水泉, 馬海生, 鄧之駒. 急性腦梗死后尿失禁與病灶部位、大小的關系[J]. 廣東醫學, 2002, 23(1):79-80.
12. 王建民. 急性腦卒中后排尿障礙的相關因素分析[J]. 中國醫藥科學, 2011, 1(16):174-175.
13. Patel M, Coshall C, Lawrence E, et al. Recovery from poststroke urinary incontinence:associated factors and impact on outcome[J]. J Am Geriatr Soc, 2001, 49(9):1229-1233.
14. Nakayama H, J?rgensen HS, Pedersen PM, et al. Prevalence and risk factors of incontinence after stroke. The Copenhagen Stroke Study[J]. Stroke, 1997, 28(1):58-62.
15. 李一鳴, 溫翠琪, 曾少毅. 改良氣囊導尿管用于大便失禁患者的效果觀察[J]. 實用護理雜志, 2003, 19(17):46-46.
16. 杜敢琴, 富奇志, 劉文麗. 腦梗死后尿失禁的預測[J]. 中國臨床康復, 2005, 9(29):10-11.
17. 曲艷霞, 唐偉. 急性腦梗死患者并發尿失禁的臨床分析[J]. 當代醫學, 2011, 17(8):15-16.
18. 吳瑞婷. 綜合護理干預對腦梗死后尿失禁患者排尿功能恢復的影響[J]. 中國醫學創新, 2013(21):67-68.

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Related Factors for Urinary and Fecal Incontinence in Post-stroke Patients in Chengdu Area

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