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Rehabilitation Practice and Science

Translated Title

腦中風後尿渚留之採討

Abstract

The major voiding problems in patients with CVA are urinary incontinence, frequency, urgency and retention. We tend to regard the stroke patients who have spontaneous voiding as being “normal”, however, some of these patients have occult incomplete emptying or silent urinary retention would not have been discovered until complication developed.We prospectively evaluated the bladder emptying status in stroke patients, and collected the data of brain CT or MRI, functional status, motor status, posture of urination and so on, to define the characteristics and risk factors of urinary retention after stoke. Eighty-six stroke patients, admitted to the rehabilitation department of CGMH at Kaohsiung, were enrolled. The post-voiding residual urine was obtained by catheterization immediately after spontaneous voiding. If the PVR was more than 100 c.c. urinary retention was impressed. Twenty-eight patients (33%) had incomplete bladder emptying in this study, this group also demonstrated a significantly higher rate of urinary tract infection. Retention was associated with hemorrhagic stroke, large infarct, brainstem involvement, Brunnstrom stage I-III of involved lower extremity. There was no correlation between the development of urinary retention and the other factors, including sex, side of stroke, time from stroke to entry in the study, aphasia, functional disability, the posture of urination, constipation, or incontinence. It was noted that in the hemorrhagic or large infarct group patients with older age had the significantly higher rate of urinary retention. All the retention patients received intermittent catheterization program, only 4 patients sustained urinary retention at discharge.

Language

Traditional Chinese

First Page

123

Last Page

128

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