摘要
目的:探讨剖宫产术后尿潴留(postpartum urinary retention,PUR)的发病率,并分析其影响因素。方法:选取行剖宫产术的产妇793例,术前常规行导尿术,麻醉方式采用腰硬联合麻醉,术后首次自行排尿后行腹部超声扫描测定膀胱残余尿量,确定有无尿潴留。产妇分为两组,尿潴留组和对照组。分析两组产妇的产科情况,以确定PUR发病的危险因素。结果:PUR的发病率为23.1%,显性和隐性尿潴留发病率分别为4.6%和18.5%。经诱导排尿或留置尿管等处理后尿潴留基本恢复。多因素Logistic回归分析影响PUR的危险因素表明,术后吗啡镇痛、低体重指数、血糖控制不达标与PUR显著相关。结论:剖宫产PUR的发病率较高,术后吗啡镇痛、低体重指数、血糖控制不达标是主要的影响因素。
Objective:To investigate the incidence of postpartum urinary retention(PUR)after cesarean delivery and analyze the influencing factors.Methods:The study recruited793pregnant women who had a cesarean delivery and followed catheterization be-fore operation routinely.The type of anesthesia sellected combined spinal epidural anesthesia.The postvoid residual bladder volume(PVRBV)was estimated with an ultrasound scan after first micturition.The patient were divided into2groups:PUR group(PVRBV^150mL)and control group.The characteristics of two groups were analysised to determine the risk factors of postpartum urinary reten-tion.Results:Of the761participants,the overall incidence of PUR was23.1%.The incidence of overt and covert PUR was4.6%and18.5%Respectively.After induction of urination or indwelling catheter,the PUR basically recovered.Unconditional Logistic regression analysis showed morphine-related postoperative analgesia,inadequate glycaemic control and low body mass index were significantly as-sociated with PUR.Conclusion:PUR is a common phenomenon in maternal who has a cesarean delivery.Morphine-related postopera-tive analgesia,inadequate glycaemic control and low body mass index are the main influence factor.
作者
袁芳
罗友军
彭丽琴
付俊霞
田甜
YUAN Fang;LUO You-jun;PENG Li-qin;FU Jun-xia;TIAN Tian(Department of Gynecology;Department of Anesthesiology, Affiliated Hospital of Qiingdao University, Qiingdao 266000 , Shandong;Zhangbe Hospital ,Zhangjiakou 015000 , Hebei, China)
出处
《川北医学院学报》
CAS
2017年第4期514-517,共4页
Journal of North Sichuan Medical College
基金
山东省卫生厅项目(2014WS0178)
关键词
尿潴留
剖宫产
影响因素
Urinary retention
Cesarean delivery
Influencing factors
