脑出血与脑梗死并发腹泻发生率的临床研究

目的：分析比较脑出血与脑梗死患者并发腹泻的发生率．方法对云南省第三人民医院住院期间的147例脑出血患者与142例脑梗死患者发生腹泻者进行发生率的统计,并观察腹泻发生的时间．结果脑出血患者发生腹泻率为36.05％,脑梗死患者发生腹泻率16.91％,脑出血并发腹泻率高于脑梗死患者．结论脑出血并发腹泻率高于脑梗死患者,可能是脑出血患者颅高压的因素较脑梗死更显著,引起应急状态下免疫功能下降,再加上卧床易并发感染等并发症,进食障碍致低蛋白血症加重肠粘膜水肿,长期用抗生素导致肠道菌群失调等因素较脑梗死更显著,故而腹泻的发生率较高．

Clinical Comparison of Incidence of Diarrhea between Cerebral Hemorrhage and Cerebral Infarction

Objective To analyze and compare the incidence of diarrhea between cerebral hemorrhage and infarction. Method We observed and compared the time when diarrhea occurred in both 147 cases of cerebral hemorrhage patients and 142 cases of cerebral infarction patients by using statistical methods. Result The incidence of diarrhea in former group was 36.05%, and that of latter was 16.91%. Conclusions The incidence in patients with diarrhea of cerebral hemorrhage was markedly higher than that of patients with cerebral infarction. This may attribute to the higher intracranial pressure in cerebral hemorrhage patients than that of cerebral infarction ones. The complications of reduction of immune function,intestinal infection and hypoproteinemia may be the other factors resulting in the higher incidence of diarrhea in cerebral hemorrhage patients than that of cerebral infarction ones.