椎管内麻醉患者术后尿潴留相关因素的研究被引量：37

Related factors for postoperative urinary retention in patients with intrathecal anesthesia

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摘要目的:探讨椎管内麻醉患者术后尿潴留发生的相关因素。方法:收集2012年6月至2013年6月在我院行椎管内麻醉的骨科手术患者共230例。前瞻性分析椎管内麻醉患者术后尿潴留发生的相关因素。结果:230例椎管内麻醉骨科手术术后患者中,48例出现术后尿潴留。单因素分析示年龄、麻醉前尿液排泄、手术时间、术中补液量、麻醉用药量、术后镇痛尿潴留组与非尿潴留组差异有统计学意义(P<0.05);性别、体重指数、吸烟史、麻醉方式尿潴留组与非尿潴留组差异均无统计学意义(P>0.05)。多因素Logistic回归分析示年龄、手术时间、术中补液量、麻醉药量≥11.25 mg、术后镇痛等均为术后尿潴留的危险因素。其中麻醉前尿液排泄是保护性因素。结论:椎管内麻醉术后尿潴留是多因素造成的一种暂时性膀胱功能障碍的表现,围手术期适当的管理(尽量减少麻醉药量、缩短手术时间、控制术中补液量、术前尽量排空尿液)可以降低术后尿潴留的发生。 Objective To investigate the related factors for postoperative urinary retention in patients with intrathecal anesthesia. Methods Collect 230 patients of orthopaedic surgery with intrathecal anesthesia in our hospital from June 2012 to June 2013. Prospective analysis the related factors of postoperative urinary retention in patients with intrathecal anesthesia. Results 48 cases have postoperative urinary retention from 230 patients of orthopaedic surgerywith intrathecal anesthesia. Difference of urinary retention group and unurinary retention group is statistically significant （P 〈 0.05）in age, urine excretion before anesthesia, operation time, intraoperative rehydration, dose to anesthesia, postoperative analgesia. Difference of urinary retention group and unurinary retention group hasn＇t statistical significance （P 〉 0.05） in Sex, body mass index, smoking history, the mode of anesthesia Age, operation time, intraoperative rehydration, anesthetic dosage 〉t 11.25 mg and postoperative analgesia are the risk factors of postoperative urinary retention with multiariable Logistic regression analysis. The urine excretion before anesthesia are protective factors. Conclusion postoperative urinary retention with intrathecal anesthesia is many factors caused by a temporary performance of bladder dysfunction, Perioperative appropriate management （minimize anesthetic doses, shorten the operation time, control intraoperatie rehydration, preoperative try to drain urine） can reduce the occurrence of postoperative urinary retention.

作者贺必梅潘飞鹏

机构地区广州市广东省中医院芳村医院麻醉科广东省中医院麻醉科

出处《实用医学杂志》 CAS 北大核心 2014年第18期2970-2972,共3页 The Journal of Practical Medicine

基金广东省中医院院级基金(编号:2012KT1049)

关键词术后尿潴留椎管内麻醉危险因素保护因素 Postoperative urinary retention Intrathecal anesthesia Risk factors Protective factors

分类号 R614 [医药卫生—麻醉学]

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