Burney T L, Senapati M, Desai S, Choudhary S T, Badlani G H
Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York, USA.
Urol Clin North Am. 1996 Aug;23(3):483-90. doi: 10.1016/s0094-0143(05)70327-x.
A functionally oriented approach to acute stroke care should take place in conjunction with traditional medical management, because the medical care provided during the first days and weeks after a stroke affects the ultimate disability status of the patient.10 New onset voiding dysfunction after a stroke is a difficult problem for all involved in the care of the patient. Urinary incontinence and retention are socially unacceptable and can be very embarrassing for the patient. They can interfere with patient discharge and complicate patient rehabilitation.13 With the high incidence of stroke, geriatricians and urologists will come across many patients with this condition, and they must approach the problem of voiding dysfunction in concert if they expect to achieve the optimal outcome for the patient. Therefore, proper diagnosis and management of voiding dysfunction in the poststroke patient are important for improved patient well being, increased patient survival, and decreased disability as well as a reduction in the national health care expenditures.
以功能为导向的急性卒中护理方法应与传统医疗管理相结合，因为卒中后最初几天和几周内提供的医疗护理会影响患者最终的残疾状况。10 卒中后新发排尿功能障碍对参与患者护理的所有人员来说都是一个难题。尿失禁和尿潴留是社会难以接受的，并且可能让患者非常尴尬。它们会干扰患者出院并使患者康复复杂化。13 鉴于卒中的高发病率，老年病医生和泌尿科医生会遇到许多患有这种疾病的患者，如果他们期望为患者实现最佳治疗效果，就必须协同处理排尿功能障碍问题。因此，正确诊断和处理卒中后患者的排尿功能障碍对于改善患者健康状况、提高患者生存率、减少残疾以及降低国家医疗保健支出都很重要。
