Department of Ageing and Health, St Thomas' Hospital, London, UK.
Int J Clin Pract. 2013 Nov;67(11):1128-37. doi: 10.1111/ijcp.12183. Epub 2013 Jul 8.
To provide a comprehensive review of the current evidence on post-stroke urinary incontinence.
An electronic database search was performed to identify relevant studies and review articles related to Urinary Incontinence (UI) in the stroke population between the years 1966 and 2012.
Urinary incontinence following stroke is a common problem affecting more than one-third of acute stroke patients and persisting in up to a quarter at 1 year. It is well established that this condition is a strong marker of stroke severity and is associated with poorer functional outcomes and increased institutionalisation and mortality rates compared with those who remain continent. Despite evidence linking better outcomes to those patients who regain continence, the results of national audits have demonstrated that the management of UI following stroke is suboptimal, with less than two-thirds of stroke units having a documented plan to promote continence.
Current evidence supports a thorough assessment to categorise the type and severity of post-stroke urinary incontinence. An individually tailored, structured management strategy to promote continence should be employed. This has been associated with better stroke outcomes and should be the aim of all stroke health professionals.
对目前关于脑卒中后尿失禁的证据进行全面综述。
对电子数据库进行检索，以确定 1966 年至 2012 年间与脑卒中人群尿失禁（UI）相关的研究和综述文章。
脑卒中后尿失禁是一种常见问题，影响超过三分之一的急性脑卒中患者，1 年后仍有四分之一的患者持续存在尿失禁。该疾病是脑卒中严重程度的有力标志，与那些保持尿失禁的患者相比，其功能结局更差，更易发生机构化和死亡率增加。尽管有证据表明那些恢复尿失禁的患者有更好的结局，但国家审计结果表明，脑卒中后尿失禁的管理并不理想，不到三分之二的脑卒中单位有促进尿失禁的书面计划。
目前的证据支持对脑卒中后尿失禁的类型和严重程度进行全面评估。应采用个体化的、结构化的管理策略来促进尿失禁的恢复。这与更好的脑卒中结局相关，应成为所有脑卒中医疗保健专业人员的目标。
