A Survey of Urological Problems of Chronic Spinal Cord Injuries

　　A survey of urological problems in island-wide chronic spinal cord injuries was done by questionnaires and telephone from December 1992 to June 1993. Four hundred and three responses (48.26% of total samples) were collected for data analysis. study. Their ages ranged from 14 to 71 years old with the mean age 37.4 ± 10.7 years old. About 89.8% of the subjects had spinal cord njury for more than one year . The content of questionnaire included data base, lesion status and urologically related problems. The results showed that:( 1) the major urological problems in chronic spinal cord injured was urinary incontinence (60.5%) ; (2) 46.1% had troubles in daily life related to urological problems; (3) 24.3% were able to void with normal pattern;( 4) 56.3% voided by sitting position and 32.3% needed help to perform voiding. The conclusion was that voiding ability was related to reserved motor function after injury. 日常生活的困擾以泌尿方面的問題為最多。本研 究的目的是評估脊髓損傷患者在泌 尿方面有關問題及困擾的概況，以 提供醫政及醫療之參考，並尋求解決的方法。本 研究對全省北、中、 南、東各區患者共發出835份問卷，回收有效問卷為403份(回收 率48. 26%)，年齡在14至71歲之間(平均37.4+10.7歲)，男性343位、女性 60位，受 傷時間至少六個月以上，其中89.8%為受傷一年以上。問卷 內容包含基本資料，脊髓 損傷狀況及泌尿相關問題。結果發現(1)泌 尿方面的困 擾以失禁滲尿最多(60.5%)， 其次為解不乾淨(50.1%)；(2 )有46. 1% 的病患認為泌尿問題已達困擾日常生活的程 度；(3)有24.3% 的病患 可以用正常的方式解尿；(4)32.3%的患者需要他人協助才能 完成解 尿；(5)解尿姿勢以坐姿最多(56.3%)。以脊髓損傷狀況來看，排尿 的能力和 殘存的運動功能有關。