排尿障碍与脑出血的关系

The Relation between Urinary Continence and Hemorrhage

目的:探讨急性自发性脑出血后排尿障碍的发生率、易发因素以及与疾病的相关性。方法:急性自发性脑出血住院患者87人,分脑出血伴有排尿障碍组38人,排尿正常组为49人,对两组病人入院时病情严重程度、年龄、出血量大小、出血部位、继发脑室出血及其预后进行比较分析。结果:急性自发性脑出血后排尿障碍发生率为43.67%,病死率为57.89%;排尿正常者为56.32%,病死率为8.16%。单因素分析表明:入院时病情重、出血量大、高龄、基底节、丘脑出血、伴脑室出血者易出现排尿障碍,且预后不良。结论:高龄、病情重、出血量大、基底节、丘脑、尤其是脑室出血者易出现排尿障碍且预后不良。

Objective： Discuss the occurring rate of urinary continence obstacle after spontaneous intracerebral hemorrhage, relative factors and relativity to the patients. Methods： There were groups of 87 patients with acute intracerebral hemorrhage in hospital, including one of group of 38 patients of hemorrhage and urinary continence obstacle, and the other group of 49 ones with normal urinary continence. Researchers carried out comparing and analysising about the serious degree of the state of the disease, age, hemorrhage quantity, hemorrhage position, secondary ventricular hemorrhage and outcomes. Results： The urinary continence obstacle rate of urinary continence obstacle of patients with acute intracerebral hemorrhage is 43.67%, the rate of death is 57. 89%, the rate of normal urinary continence is 56.32% and the rate of death is 8. 16%. Single factor analysis shows that urinary continence obstacle in the patients are likely to occur and not good after outcomes when they come to hospital with serious state of disease, a large quantity of hemorrhage, venerable age, basal nuclei,thalamus hemorrhage,secondary ventricular hemorrhage. Conclusion urinary continence obstacle patients are likely to occur and not good after outcomes when they come to hospital with serious state of disease, a quantity of hemorrhage, venerable age, basal nuclei,thalamus hemorrhage,secondary ventricular hemorrhage.