摘要
目的探讨影响腰椎全身麻醉术后卧床患者排尿功能的相关危险因素。方法我院行腰椎全身麻醉术的患者372例,根据术后卧床患者是否出现排尿功能障碍分为排尿功能障碍组(n=40)和排尿功能正常组(n=332)。收集患者临床资料,分析影响术后排尿功能的相关因素。结果Logistic多元回归分析结果显示,男性、年龄≥60岁、前列腺增生、镇痛泵使用≥24 h、留置尿管时间≥72 h、精神异常是腰椎全身麻醉术后卧床患者发生排尿功能障碍的独立危险因素(P<0.05)。结论腰椎全身麻醉术后患者发生排尿功能障碍与男性、年龄、前列腺增生、镇痛泵使用时间、留置尿管时间、精神异常等因素密切相关,临床上应予以重视并采取相应干预措施以防止排尿功能障碍发生。
Objective To explore the related factors affecting urinary function in bedridden patients after lumbar general anesthesia surgery.Methods A total of 372 patients who underwent lumbar general anesthesia surgery in our hospital were divided into urinary dysfunction group(n=40)and normal urinary function group(n=332)according to whether there was urinary dysfunction in postoperative bedridden patients.The clinical data of patients were collected,and logistic multivariate regression analysis was performed on the related factors affecting postoperative urinary function.Results Logistic multivariate regression analysis showed that males,age≥60 years old,benign prostatic hyperplasia,analgesia pump use≥24 h,indwelling catheter time≥72 h and mental abnormality were independent risk factors for urinary dysfunction in bedridden patients after lumbar general anesthesia surgery(P<0.05).Conclusion Urinary dysfunction in patients with lumbar general anesthesia surgery is closely related to males,age,benign prostatic hyperplasia,analgesia pump use time,indwelling catheter time and mental abnormality.Clinical attention should be paid and appropriate intervention measures should be taken to prevent the occurrence of urinary dysfunction.
作者
付静文
张璠
张未
FU Jing-wen;ZHANG Fan;ZHANG Wei(Department of Anesthesiology,The First Affiliated Hospital of Air Force Military Medical University,Xi'an 710032,China)
出处
《实用医院临床杂志》
2020年第5期10-12,共3页
Practical Journal of Clinical Medicine
基金
河南省医学科技攻关计划普通项目(编号201503126)。
关键词
腰椎手术
全身麻醉
排尿功能
镇痛泵
危险因素
Lumbar surgery
General anesthesia
Urinary function
Analgesia pump
Risk factors
