在急性缺血性中风中便秘的发生率,危险因素和预后:一项前性观察性研究
Xiuhua Tian1, Lan Li1, Junfeng Chen1
1Department of Neurology, the Affiliated Hospital of Southwest Medical University, Taiping Street, Jiangyang District, Luzhou 646000, China.
概括
新发作便秘会影响超过40%的急性缺血性中风患者. 早期中风严重程度得分如NIHSS和mRS可以预测便秘的发生率和长期严重程度.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 临床医学 临床医学
背景情况:
- 便秘是急性缺血性中风患者经常出现的并发症.
- 与中风相关的便秘的发病率,风险因素和预后影响尚未得到充分了解.
- 这项研究旨在调查急性缺血性中风中新发作便秘的情况.
研究的目的:
- 确定急性缺血性中风住院患者中新发作便秘的发生率.
- 为了确定与便秘发展相关的风险因素.
- 探索便秘,中风严重程度和患者预后之间的关系.
主要方法:
- 一项前性研究涉及358名急性缺血性中风患者.
- 使用便秘评分系统来评估新出现的便秘.
- 使用后勤回归和多重线性回归分析来识别预测因素和预后因素.
主要成果:
- 新发性便秘的累计发病率为41.6%.
- 有意义的预测因素包括年龄,乙氨基酸细胞数量和入院修改的兰金级 (mRS) 评分.
- 美国国家卫生研究院中风量表 (NIHSS) 和入院时的mRS分数在六个月后期积极预测便秘严重程度.
结论:
- 新发作便秘是急性缺血性中风后的常见并发症.
- 入院NIHSS,mRS和吞水测试得分可以预测便秘的发生率和严重程度.
- 这些评分的早期评估有助于风险分层和对便秘相关并发症的干预.
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