摘要
目的:探讨腹腔镜下腹股沟疝修补术后尿潴留发生危险因素。方法:选择我院2017年10月-2019年10月入院接受治疗的患者,筛选88例接受腹腔镜下腹股沟疝修补术的患者,根据患者术后有无术后尿潴留,分为对照组以及研究组,对照组为术后发生尿潴留的44例患者,研究组为术后未发生尿潴留的患者44例,探究其术后发生尿潴留的危险因素。结果:Logistic回归分析显示,腹腔镜下腹股沟疝修补术后尿潴留发生影响因素多元回归分析中,认为年龄≥50岁、有良性前列腺肥大、麻醉性类术后镇痛药物、术后首次排尿时间>5h均为独立危险因素,有统计学意义(P<0.05)。结论:患者年龄大于或等于50岁、男性患者存在良性前列腺肥大、麻醉性类术后使用镇痛药物、术后首次排尿时间>5h为接受腹腔镜下腹股沟疝修补术患者手术后发生尿潴留的高危风险因素,为患者的术后康复、术后护理提供了理论支持。
Objective:To investigate the risk factors of urinary retention after laparoscopic inguinal hernia repair.Methods:our hospital in October 2017-in October 2019 was admitted to hospital patients,screening of 88 cases in patients undergoing laparoscopic inguinal hernia repair,according to the patients with and without postoperative urine retention,postoperative were divided into control group and research group,control group for postoperative urinary retention of 44 patients,the team for 44 cases of postoperative urinary retention in patients and to explore the risk factors of postoperative urinary retention.Results:Logistic regression analysis showed that in multiple regression analysis,age≥50 years,benign prostatic hypertrophy,narcotic postoperative analgesics,and first urination time>5h after laparoscopic inguinal hernia repair were all independent risk factors,with statistical significance(P<0.05).Conclusion:patients with age greater than or equal to 50 years old,male patients with benign prostatic hypertrophy,narcotic postoperative use of analgesic drugs,postoperative micturition time>5 h for the first time for patients with laparoscopic inguinal hernia repair surgery after the higher risk of urinary retention risk factors,postoperative nursing care for patients with postoperative rehabilitation,which provides theoretical support.
作者
王碧珍
彭凤娟
涂春梅
邱莘
邓带欢
邓银仪
Wang Bizhen;Peng Fengjuan;Tu Chunmei;Qiu Xin;Deng Daihuan;DENG Yinyi(Qiaotou Hospital,Dongguan,Guangdong 523520)
出处
《黑龙江中医药》
2020年第3期169-170,共2页
Heilongjiang Journal of Traditional Chinese Medicine
关键词
腹腔镜下腹股沟疝修补术
尿潴留
危险因素
Laparoscopic inguinal hernia repair
Urinary retention
Risk factors for