椎管内麻醉患者术后尿潴留有关因素的初步探讨
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摘要
目的针对椎管内麻醉患者术后产生尿潴留的有关影响因素进行初步探讨。方法收集接受椎管内麻醉方法的100例骨科手术患者有关资料,对采取椎管内麻醉方法的患者术后产生尿潴留的有关影响因素进行前瞻性分析。结果有21例产生尿潴留,术后产生尿潴留的危险因素主要有年龄、术中补液量、手术时间、≥11.25 mg麻醉药量及术后镇痛等。结论椎管内麻醉术后尿潴留是由很多因素导致患者产生暂时性膀胱功能障碍的一种临床表现,围手术期采取有效的管理措施可使术后产生尿潴留的比例明显降低。
Objective To investigate the influencing factors of postoperative urinary retention in patients undergoing spinal anesthesia. Methods The relevant data of 100 patients in the department of orthopedics undergoing intraspinal anesthesia were collected, and the factors affecting the retention of urine after the intraspinal anesthesia were prospectively analyzed. Results There were 21 cases of urinary retention. The main risk factors for postoperative retention of urine were age, amount of rehydration, operation time, less than 11.25 mg of anesthetic dosage and postoperative analgesia. Conclusion Urinary retention after intraspinal anesthesia is a clinical manifestation of temporary bladder dysfunction caused by many factors. Effective management measures in perioperative period can reduce the proportion of urinary retention after operation.
Objective To investigate the influencing factors of postoperative urinary retention in patients undergoing spinal anesthesia. Methods The relevant data of 100 patients in the department of orthopedics undergoing intraspinal anesthesia were collected, and the factors affecting the retention of urine after the intraspinal anesthesia were prospectively analyzed. Results There were 21 cases of urinary retention. The main risk factors for postoperative retention of urine were age, amount of rehydration, operation time, less than 11.25 mg of anesthetic dosage and postoperative analgesia. Conclusion Urinary retention after intraspinal anesthesia is a clinical manifestation of temporary bladder dysfunction caused by many factors. Effective management measures in perioperative period can reduce the proportion of urinary retention after operation.
引文
[1]张赛男,林仙菊,朱广球.人工股骨头置换老年患者术后肺部感染的相关因素分析[J].浙江创伤外科,2015,20(4):671-672.
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[10]曹伟华.右美托咪定对椎管内麻醉手术患者的影响[J].实用中西医结合临床,2017,17(9):23-24.
[11]浦鹏飞,谢玉波.椎管内麻醉的研究进展[J].海南医学,2012,23(4):129-131.
[12]贺必梅,潘飞鹏.椎管内麻醉患者术后尿潴留相关因素的研究[J].实用医学杂志,2014,30(18):2970-2972.
[2]刘曙光.老年患者基层医院行麻醉术临床分析[J].中国实用医药,2013,8(8):61.
[3]毕路甲,栾丰年.氯胺酮对老年患者椎管内麻醉术后苏醒期躁动及认知功能的影响[J].医药论坛杂志,2016,37(12):150-152.
[4]张振涛.老年下肢骨科手术患者应用不同麻醉方法的效果比较分析[J].双足与保健,2017,26(15):145,147.
[5]李敏,印婷婷.对行椎管内麻醉骨科手术的老年患者实施优质护理的效果分析[J].当代医药论丛,2017,15(18):264-266.
[6]徐家伟.探讨椎管内麻醉对应激的影响及药物复合椎管内麻醉的优点[J].世界最新医学信息文摘,2018,18(31):76,79.
[7]田保贵,周晓丽.分析椎管内麻醉直入法与侧入法对患者术后腰背疼的影响[J].中国农村卫生,2017(4):40-41.
[8]何炎鸿,杨小霞,薛建军.参附注射液预防椎管内麻醉后寒颤的临床观察[J].甘肃科技纵横,2017,46(7):74-76.
[9]刘梦婕,陈爱华,胡亚丽.骨科全麻和椎管内麻醉术后的早期饮食护理[J].当代护士,2017(9):128-130.
[10]曹伟华.右美托咪定对椎管内麻醉手术患者的影响[J].实用中西医结合临床,2017,17(9):23-24.
[11]浦鹏飞,谢玉波.椎管内麻醉的研究进展[J].海南医学,2012,23(4):129-131.
[12]贺必梅,潘飞鹏.椎管内麻醉患者术后尿潴留相关因素的研究[J].实用医学杂志,2014,30(18):2970-2972.