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Urinary incontinence in acute phase of stroke

机译：中风急性阶段的尿失禁

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Urinary incontinence can affect 40-60% of stroke patients in acute hospital, with 25% still having problems on hospital discharge and remaining incontinent at one year. But the incedence and prevalence of different clinical tipes of urinary incontinence are still unclear, that makes it difficult to create a guidelines for rutine evaluation, treatment and prognosis. Matherials and Methods. Patients after stroke with urinary incontinence admitted in Stroke unit of Clinical hospital ,,Gailezers". They were assessed by questionary about premorbid activities of daily living, mental functioning, comorbidities, previous and actual micturition symptoms, stroke sindroms, medication use, disability (Barthel Index), and cognition (MMSE), urinanalysis. Results.From 137 patients after stroke (female/male 64/73) enrolled in investigation 6,5% patients had preeexisting urinary incontinence (stress/ urgency), 64% developed new simptoms. Patients with low Barthel Index rate had higher incidence of urinary incontinence. Negative impact on urinary incontinence had cognition disturbance . Conclusion. Functional and cognitive factors may play a disestive role in the future to live independently after stroke.
机译：尿失禁可以影响急性医院中40-60％的中风患者，25％仍然存在医院排放问题，并在一年内剩下的失禁。但尿失禁尿失禁的不同临床尖端的宣传和患病率尚不清楚，这使得难以创建针对戒指评估，治疗和预后的准则。 Matherials和方法。患者患有尿失禁后，尿失禁在临床医院，Gailezers中携带尿失禁。它们是关于日常生活，心理运作，组合，先前和实际检测症状，中风Sinroms，药物用途，残疾（Barthel）进行评估指数和认知（MMSE），尿嘧啶分析。结果。从中风（女性/男性64/73）中患有调查后的137名患者6.5％患者患有尿失禁（应力/紧迫），64％开发了新的副作用。低音指数率低的患者具有较高的尿失禁发生率。对尿失禁的负面影响具有认知障碍。结论。功能性和认知因素可能在未来在中风后独立生活。

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