111330Gaziler Physical Therapy and Rehabilitation Training and Research Hospital, Ankara, Turkey.
162302Ankara City Hospital, Physical Therapy and Rehabilitation Hospital, Ankara, Turkey.
Scott Med J. 2022 May;67(2):64-70. doi: 10.1177/00369330211072247. Epub 2022 Jan 5.
Lower Urinary Tract Dysfunction (LUTD) is a condition that is common in stroke patients and affects their quality of life and psychological state.
To determine the factors affecting LUTD severity in stroke patients and to evaluate its relationship with functional status.
77 stroke patients were included in our study. Demographic and stroke characteristics of all patients were recorded. Functional Ambulation Scale (FAS), Functional Independence Measure (FIM), the Core Lower Urinary Tract Symptom Score (CLSS) Questionnaire, Beck Depression Scale were administered to the patient. 33 of 77 patients had urodynamic study and these patients constituted the subgroup of the study. Patients were grouped according to type of disorder, type of detrusor and detrusor sphincter dyssynergia (DSD) using urodynamic study findings.
The mean CLSS of men was significantly higher than women ( = 0.017). A significant positive correlation was found between age and CLSS ( = 0.035 r = 0.24) and negative correlation was found between total FIM and all sub-parameter scores and mean of CLSS ( = 0.001 r = -0.467).
LUTD is common in stroke patients and the presence of urinary symptoms is associated with poor functional status. No significant relationship was observed between urodynamic data except maximum flow rate and CLSS.
下尿路功能障碍（LUTD）是脑卒中患者常见的病症，会影响其生活质量和心理状态。
确定影响脑卒中患者 LUTD 严重程度的因素，并评估其与功能状态的关系。
纳入 77 例脑卒中患者，记录所有患者的人口统计学和脑卒中特征。对患者进行功能性步行量表（FAS）、功能独立性测量（FIM）、核心下尿路症状评分（CLSS）问卷、贝克抑郁量表评估。77 例患者中有 33 例行尿动力学检查，这些患者构成了研究的亚组。根据尿动力学检查结果，按照障碍类型、逼尿肌类型和逼尿肌括约肌协同失调（DSD）对患者进行分组。
男性的平均 CLSS 明显高于女性（ = 0.017）。年龄与 CLSS 呈显著正相关（ = 0.035 r = 0.24），总 FIM 与所有子参数评分和 CLSS 的平均值呈显著负相关（ = 0.001 r = -0.467）。
LUTD 在脑卒中患者中很常见，存在尿症状与功能状态不佳有关。除最大尿流率外，尿动力学数据与 CLSS 之间无显著相关性。
