脑卒中患者尿潴留与功能恢复的关联研究

关键词：脑卒中  尿潴留  功能恢复

Keywords:stroke  urinary retention  functional recovery

摘要：

      摘要 目的：探讨脑卒中患者尿潴留与功能性恢复之间的关联性。 方法：选取2019年10月—2020年9月在复旦大学附属华山医院康复医学科收治的脑卒中患者72例，根据膀胱扫描仪测得的残余尿量分为尿潴留组（UR）和非尿潴留组（非UR）。使用简易智力状态检查量表（Mini-Mental State Examination， MMSE）、功能综合评定量表（Functional Comprehensive Assessment， FCA）， Fugl-Meyer运动功能评定量表（Fugl-Meyer Assessment， FMA）和Barthel指数（Barthel Index， BI）来评估患者的认知功能、平衡能力、步行能力、运动恢复和日常生活能力。 结果：72例患者中21例为UR组，51例为非UR组。在康复治疗的初期阶段，UR组的MMSE、BI、FCA运动和认知评分均低于非UR组（P<0.05）。康复治疗后两组的功能性评分均有显著性提高，但是非UR组的恢复效果要优于UR组（P<0.05）。 结论：脑卒中患者UR的发生与卒中后康复初期功能低下相关，并与康复效果不佳密切相关。

Abstract:

      Abstract Objective：To investigate the relationship between urinary retention and functional recovery in patients with stroke. Method： The medical records of 72 patients admitted to the rehabilitation Department of Huashan Hospital Affiliated to Fudan University were reviewed retrospectively. They were assigned into urinary retention （UR） group and non-UR group according to the postvoid residual urine measured by a bladder scan. The Mini-Mental State Examination (MMSE) and Functional Comprehensive Assessment (FCA) were used. Fugl-Meyer Assessment (FMA) and Barthel Index (BI) were used to assess patients' cognitive function, balance ability, walking ability, motor recovery and activities of daily living. Result： Of the 72 participants， 21 patients were classified to the UR group and 51 were classified to the non-UR group. At the initial stage of rehabilitation， the scores of MMSE， BI， and FCA were significantly worse in the UR group than that in non-UR group （P<0.05）. Both groups showed significant improvements of all functional outcomes after rehabilitation （P<0.05）. The non-UR group showed more prominent recovery of MMSE， BI， and FCA scores （P<0.05）. Conclusion： The occurrence of UR in stroke patients is closely related to poor functional recovery in the early stages after stroke， and is closely related to poor rehabilitation outcomes.