关键词: 卒中; 下尿路功能障碍; 焦虑障碍; 膀胱活动度

Abstract:

Objective To investigate the association between lower urinary tract dysfunction and anxiety disorder in stroke patients through sites of the stroke and the characteristics of bladder urodynamic. Methods The stroke patients were selected and enrolled according to the revised diagnostic criteria by the 4th National Cerebral Vascular Academic Conference. The patients were divided into groups according to sites of stroke. The Self-rating Anxiety Scale (SAS) and urination log were recorded. The association between incidence of anxiety disorders and urination disorder were analyzed. The morbidity rate of frontal lobe injury were calculated statistically. Results The lower urinary tract dysfunction occurrence rate of the frontal stroke group was 1.75 times higher than that of non-frontal stroke group, and the occurrence rate of PSAD in the frontal stroke group was 2.16 times higher than that of non-frontal stroke group. LUTD prevalence increased significantly in patients with PSAD, and urodynamics test prompted that the bladder activity was significantly higher. Conclusion Anxiety disorders and urination disorder after stroke are relatively common and the incidence of frontal stroke is significantly higher, with urination disorder at urine storing stage as the majority. The senior cerebral function, daily life ability, mood after stroke, etc are associated on patients with abnormal urination. Urodynamic changes are mostly caused by overactive activity of bladder and the symptoms are not in consistence with urodynamic manifestation. The test should be done when necessary for further treatment.

Key words: Stroke; Lower urinary tract dysfunction; Anxiety disorder; Bladder activity