脑卒中后排泄障碍

Excretory dysfunction after stroke

脑卒中后出现的排泄功能障碍包括尿便和汗液排泄障碍。排泄障碍与脑卒中的程度、部位、年龄、性别和精神障碍有关,根据受累部位的不同而异。尿失禁在脑卒中后排泄障碍中的发病率中占首位,可通过膀胱功能训练、生物反馈和小剂量的抗胆碱酯酶药物治疗。排便失禁是排便障碍的常见表现,排便训练、饮食控制可改善症状。重视脑卒中后排泄障碍的防治,有助于降低残疾程度、改善患者的生活质量。

Excretory dysfunction after stroke, including fecal dysfunction, voiding dysfunction, sweating dysfunction, affects the activities of daily living and worsen mental health. It is associated with stroke severity, lesion location, age, sex and mental disorder. Incidence rate of urinary incontinence is higher in the acute stage of stroke that not only predict the poor outcomes but also influence the ability to achieve optimum recovery, and its' treatments are bladder training, biofeedback and small dosage of anticholinesterase drug. Fecal incontinence is common among voiding dysfunction,which can be improved through bowel training and diet regulation.According to the location of the infarct, hypohidrosis or hyperhidrosis may exits.Especially in order to improve the patients' life quality,more attention should be paid to its evaluation and treatment.