Risks of defecatory dysfunction in acute minorischemic strokepatients
10.3969/j.issn.1006-5725.2017.22.013
- VernacularTitle:轻型卒中后排便障碍危险因素分析
- Author:
Jing BIAN
1
;
Yiyao YANG
;
Lan YI
;
Min XU
;
Qi FANG
;
Wanli DONG
;
Jianqiang NI
Author Information
1. 215006,苏州大学附属第一医院神经内科
- Keywords:
minor stroke;
defecatory dysfunction;
prognosis
- From:
The Journal of Practical Medicine
2017;33(22):3729-3733
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the incidence and risk factors ofdefecatory dysfunction in acute minorischemic strokepatientsandexplore the influence of the risk factors onprognosis.Methods Clinical data of 274 patients with acute minor ischemic strokewere reviewed and analyzed retrospectively.According to the presence of poststroke defecatorydysfunction,they were divided into defecatory dysfunction group and non-defecatory dysfunction group.The factors associated withdefecatory dysfunctionwere analyzed by univariate analysis and multivariatelogisticanalysis respectively,followed by investigating their effects on the prognosis.Results 74 patients of them with acute minor ischemic stroke had defecatory dysfunction.The univariate analysis indicated that4 factors including baseline NIHSS scorewere the risk factors.Multivariate logistic analysis showed that female,age,diabetes mellitus and baseline NIHSS score were independent risk factors for defecatory dysfunction.The scores of modified Rankin Scale (mRS) after 3 months in minor stroke patients with defecatory dysfunction wassignificantly higher(P ＜ 0.05).Baseline NIHSS score was a predictive factor for the prognosis of post-stroke defecatorydysfunctionpatients.Conclusions Defecatory dysfunction in acute minor stroke patients may increase the risk of poor prognosis.The female,elderlypatients as well those with diabetes mellitus and serious neurologicalfunction deficits are more likely to suffer post-stroke defecatory dysfunction.
