[1]邸禄芹,李天华,陈彩真,等.骨科术后早期拔尿管患者尿潴留发生情况及影响因素分析[J].中华老年骨科与康复电子杂志,2022,(02):104-108.[doi:10.3877/cma.j.issn.2096-0263.2022.02.006]
　Di Luqin,Li Tianhua,Chen Caizhen,et al.Analysis of the occurrence and influencing factors of urinary retention in patients undergoing orthopedic surgery[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2022,(02):104-108.[doi:10.3877/cma.j.issn.2096-0263.2022.02.006]
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骨科术后早期拔尿管患者尿潴留发生情况及影响因素分析()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2022年02期
页码:
104-108
栏目:
护理园地
出版日期:
2022-04-05

文章信息/Info

Title:
Analysis of the occurrence and influencing factors of urinary retention in patients undergoing orthopedic surgery
作者:
邸禄芹1; 李天华2; 陈彩真2; 于静静2; 王晓彦1; 张娇1; 丁俊琴2
050051 石家庄，河北医科大学第三医院创伤急救中心1；050051 石家庄，河北医科大学第三医院护理部2
Author(s):
Di Luqin1;  Li Tianhua2;  Chen Caizhen2;  Yu Jingjing2;  Wang Xiaoyan1;  Zhang Jiao1;  Ding Junqin.
1Department of Orthopaedics, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China; 2Department of Nursing, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
关键词:
骨科手术;  拔尿管;  尿潴留;  危险因素
Keywords:
Orthopedic surgery;  Urinary catheter removal;  Urinary retention;  Risk factors
DOI:
10.3877/cma.j.issn.2096-0263.2022.02.006
文献标志码:
A
摘要:
目的 探讨骨科手术患者术后早期拔除尿管，尿潴留发生率及其影响因素。方法 选取2020年3月至2020年5月于我院骨科手术的患者300例，根据术后早期拔除尿管后能否自行排尿分为观察组和对照组，比较患者的一般资料、手术及护理相关信息。结果 患者术后早期拔除尿管尿潴留发生率为15.7%。两组患者的手术部位（c2=27.171，P＜0.01）、术后镇痛（c2=4.364，P=0.037）、差异具有统计学意义，性别（c2=3.288，P=0.07）、年龄（c2=0.400，P=0.527）、体质指数（c2=4.949，P=0.176）、合并症个数（c2=2.559，P=0.278）、麻醉方式（c2=3.041，P=0.081）、麻醉时长（c2=2.108，P=0.147）、膀胱充盈状况（c2=1.573，P=0.210）、精神状态（c2=0.008，P=0.927）、主观意愿（c2=0.443，P=0.505）、尿管水囊光滑状况（c2=1.396，P=0.237）差异无统计学意义。Logistic回归分析表明手术部位（OR=7.445；95% CI：3.192，17.366）是发生尿潴留的独立危险因素。结论 手术部位是骨科手术患者术后早期拔除尿管发生尿潴留的独立危险因素，以椎体手术患者术后发生率最高。
Abstract:
Objective The purpose of this study was to investigate the incidence and influencing factors of urinary retention in patients undergoing orthopedic surgery whose catheters were removed early after the operation. Methods A total of 300 patients undergoing orthopedic surgery in our hospital from March 2020 to May 2020 were selected and divided into observation group and control group according to whether they could urinate by themselves after the urinary catheters were removed in the early postoperative period. The general information, operation and nursing related information of the two groups were compared and analyzed. Results The incidence of urinary retention in patients with early removal of the urinary catheter after operation was 15.7%. There were statistically significant differences in surgical site (c2=27.171, P<0.01), and postoperative analgesia (c2=4.364, P=0.037) between the two groups (P<0.05), while there were no significant differences in gender (c2=3.288, P=0.07), age (c2=0.400, P=0.527), body mass index (c2=4.949, P=0.176), number of complications (c2=2.559, P=0.278), anesthesia mode (c2=3.041, P=0.081), anesthesia duration (c2=2.108, P=0.147), bladder filling status (c2=1.573, P=0.210), mental state (c2=0.008, P=0.927), subjective will (c2=0.443, P=0.505), and smooth condition of water sac (c2=1.396, P=0.237). Logistic regression analysis showed that surgical site was an independent risk factor for urinary retention. Conclusion The surgical site (OR=7.445, 95% CI: 3.192, 17.366) was an independent risk factor for urinary retention in patients with orthopedic surgery after early removal of the urinary catheter, and the incidence of urinary retention was the highest in patients with spine surgery.

备注/Memo

备注/Memo:
基金项目：重点科技研究计划项目（20170140）
更新日期/Last Update: 2022-06-17