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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12.	王建民. 急性脑卒中后排尿障碍的相关因素分析[J]. 中国医药科学, 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, Jørgensen 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.	李一鸣, 温翠琪, 曾少毅. 改良气囊导尿管用于大便失禁患者的效果观察[J]. 实用护理杂志, 2003, 19(17):46-46.
16.	杜敢琴, 富奇志, 刘文丽. 脑梗死后尿失禁的预测[J]. 中国临床康复, 2005, 9(29):10-11.
17.	曲艳霞, 唐伟. 急性脑梗死患者并发尿失禁的临床分析[J]. 当代医学, 2011, 17(8):15-16.
18.	吴瑞婷. 综合护理干预对脑梗死后尿失禁患者排尿功能恢复的影响[J]. 中国医学创新, 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. 全国脑血管病会议. 各类脑血管疾病诊断要点[J]. 临床荟萃, 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. 贾建平. 神经病学[M]. 北京:北京大学医学出版社, 2004:176.
6. 苏雅茹, 蒋雨平. 尿失禁与脑血管意外[J]. 中国临床神经科学, 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. 熊爱民, 唐玉平, 梅志彬, 等. 脑卒中后尿失禁的治疗及护理进展[J]. 全科护理, 2010, 8(24):2224-2225.
11. 杨水泉, 马海生, 邓之驹. 急性脑梗死后尿失禁与病灶部位、大小的关系[J]. 广东医学, 2002, 23(1):79-80.
12. 王建民. 急性脑卒中后排尿障碍的相关因素分析[J]. 中国医药科学, 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, Jørgensen 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. 李一鸣, 温翠琪, 曾少毅. 改良气囊导尿管用于大便失禁患者的效果观察[J]. 实用护理杂志, 2003, 19(17):46-46.
16. 杜敢琴, 富奇志, 刘文丽. 脑梗死后尿失禁的预测[J]. 中国临床康复, 2005, 9(29):10-11.
17. 曲艳霞, 唐伟. 急性脑梗死患者并发尿失禁的临床分析[J]. 当代医学, 2011, 17(8):15-16.
18. 吴瑞婷. 综合护理干预对脑梗死后尿失禁患者排尿功能恢复的影响[J]. 中国医学创新, 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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