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뇌경색증의 급성기에 발생한 변비에 대한 연구
Characteristics of Constipation at Acute Phase of Cerebral Stroke

The Ewha Medical Journal 2015년 38권 1호 p.22 ~ p.29

최윤이(Choi Yoon-Ii) - 이화여자대학교 의학전문대학원 내과학교실
김소이(Kim So-I) - 이화여자대학교 의학전문대학원 내과학교실
김성은(Kim Seong-Eun) - 이화여자대학교 의학전문대학원 내과학교실
정혜경(Jung Hye-Kyung) - 이화여자대학교 의학전문대학원 내과학교실
김태헌(Kim Tae-Hun) - 이화여자대학교 의학전문대학원 내과학교실

Abstract

Objectives: The prevalence of constipation is high after stroke. Multiple factors such as long-term bed-ridden status, comorbidity, medical illnesses are combined in this condition. However, the change of bowel movement during the early stage of stroke remains uncertain.

Methods: Patients with first stroke who admitted in a single institute from 2008 to 2009 were reviewed retrospectively and 36 patients were enrolled. As a control group, 47 consecutive orthopedic patients needing bed rest without surgery in the same period were enrolled. Data of stroke associated factors, frequency of BM (bowel movement) during 5 weeks, use of gastrointestinal medications, and outcomes were collected from the medical records.

Results: The cumulative incidence of decreased (<3/week) and severely decreased BM (<1/week) were 80.6% and 69.4% in stroke patients and 53.2% and 14.9% in control group (P<0.05). The cumulative incidence of increased BM (>3/day) was 38.9% in stroke and 14.9% in control group. In acute stroke, 58% of patient showed severely decreased BM in first week, and the proportion was rapidly decreased below 15% from second week. However, laxative use increased with hospital days. The occurrence of severely decreased BM in stroke patients was associated with National Institutes of Health Stroke Scale (NIHSS; P=0.004). Severely decreased BM was not associated with poor outcomes including death, morbidity, and stroke recurrence.

Conclusion: Decreased BM is common in acute stroke. The occurrence of severely decreased BM is associated with NIHSS. However, the severe manifestation occurred mainly in the first week, and considered to be well controlled by laxatives.

키워드

Constipation, Stroke

KMID : 1039020150380010022

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

Decreased BM is common in acute stroke. The occurrence of severely decreased BM is associated with NIHSS. The severe manifestation occurred mainly in the first week,

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

뇌경색증의 급성기에 발생한 변비에 대한 연구 Characteristics of Constipation at Acute Phase of Cerebral Stroke

Abstract

키워드

뇌경색증의 급성기에 발생한 변비에 대한 연구
Characteristics of Constipation at Acute Phase of Cerebral Stroke