量表在脑梗死患者二便障碍护理中的应用

Application of Scales in Cerebral Infarction Patients with Defecation and Urination Disorders

目的研究美国国立卫生院脑卒中量表(NIHSS)评分、格拉斯哥昏迷评分(GCS)及指数记分法(BI)量表,预测脑梗死患者发病3个月后二便障碍预后的有效性。方法采取队列研究,登记2010年9月-2011年10月入院的脑梗死患者性别、年龄、婚姻、民族、职业,由脑卒中护士全面评定NIHSS评分、GCS评分、BI量表等指标。3个月后回访患者二便障碍恢复情况。结果分析显示NIHSS评分、GCS评分分值与脑梗死发病后3个月二便障碍恢复相关,BI量表评分分值与脑梗死发病后3个月二便障碍恢复无关。结论 NIHSS评分、GCS评分分值可以预测脑梗死患者二便障碍恢复情况及预后情况,具有预测有效性。

Objective To valuate the effectiveness of National Institutes of Health Stroke Scale（NIHSS）,Glasgow coma scale（GCS） and Barthel index（BI） in predicting the prognosis of sphincter disturbances three months after the occurrence of cerebral infarction.Methods Prospective cohort method was adopted to collect the information of sex,age,marital status,race,and occupation of patients with cerebral infarction admitted into the hospital between September 2010 and October 2011.NIHSS,GCS and BI scores were evaluated by nurses of the stroke unit.Three months after the admission,sphincter functions were evaluated again.Results The statistical analysis showed that NIHSS and GCS scores were related to the recovering of sphincter disturbances within three months after the onset,while BI score was not.Conclusion NIHSS and GCS can effectively predict the recovery of stroke patients＇ sphincter disturbances.