脑卒中后发生便秘的原因、影响因素及护理对策

目的分析脑卒中患者发生便秘的现状、原因及其相关因素,探讨预防和解决便秘的对策。方法回顾性分析山东聊城市第三人民医院神经内科2008年6月至2008年12月间住院治疗的150例脑卒中患者的资料,以患者发病之日作为观察起点,观察患者发病4周内的大便次数,分析脑卒中患者便秘发生的相关因素。结果 150例住院患者发病前有便秘史者19例(12.70%);在住院治疗的4周时间内发生便秘者100例,其中新发生便秘85例,便秘总发生率66.67%;卒中前后,便秘的发生率差异有统计意义(P=0.000)。女性、高龄、出血性脑卒中、病变部位在基底神经节区、神经功能缺损严重者便秘发生率较高。行多因素Logistic逐步回归方程分析,性别、年龄、卒中类型为便秘的独立影响因素。结论脑卒中患者便秘的发生率较高,原因复杂多样。护理人员应根据患者的具体情况具体分析,采取个体化、适应患者病情变化的有效预防措施和治疗便秘的方法,使其保持大便通畅,预防并发症发生,促进疾病康复。

Causes,Relative Factors and Strategy of Constipation in Stroke Patients

Objective To analyze the current status,causes and relative factors of constipation in stroke patients,and to explore the strategy to prevent and treat constipation.Methods The medical data of 150 stroke patients in Neurology Department of No.3 People's Hospital of Liaocheng from June to December 2008 were analyzed retrospectively.Taking the date of onset as the starting point of observation,the stool frequency was observed since the onset of stroke for 4 weeks.Statistical analysis was conducted on the cons...