脳血管障害患者の排尿障害と尿路感染

EVALUATION FOR URINARY DISTURBANCE AND URINARY TRACT INFECTION IN PATIENTS WITH CEREBROVASCULAR DISEASE

　脳血管障害後遺症に対するリハビリテーションの目的で入院中の患者135名を対象に，排尿障害と尿路感染症に関して検討した．入院時，86％の患者は何らかの排尿障害を自覚し47％に尿路感染を認めた，入院時，日常生活動作（activity of daily living；ADL）が悪いほど，排尿障害や尿路感染症を伴っており，尿路感染の有無は残尿量と相関していた．泌尿器科的管理下，3カ月間のリハビリテーション後，尿路感染が認められた症例は全体で21％で，同じ排尿状態あるいは同じADL群の比較でも尿路感染陽性率は減少し，とくにADLに改善がみられた患者ほど尿路感染消失率が高かった．

We evaluated urinary disturbance and urinary tract infection in patients with cerebrovascular disease. Of 135 patients 86% complained some urinary disturbances, and 47% had urinary tract infection. The patients with poor activity of daily living had higher incidence of urinary disturbance and urinary tract infection. After 3 month rehabilitation and urological management, the incidence of urinary tract infection decreased to 21%. It was found that the improvement of the urinary tract infection correlated with the improvement of activity of daily living.