Related factors for postoperative urinary retention in patients with intrathecal anesthesia
10.3969/j.issn.1006-5725.2014.18.035
- VernacularTitle:椎管内麻醉患者术后尿潴留相关因素的研究
- Author:
Bimei HE
;
Feipeng PAN
- Publication Type:Journal Article
- Keywords:
Postoperative urinary retention;
Intrathecal anesthesia;
Risk factors;
Protective factors
- From:
The Journal of Practical Medicine
2014;(18):2970-2972
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the related factors for postoperative urinary retention in patients with intrathecal anesthesia. Methods Collect 230 patients of orthopaedic surgery with intrathecal anesthesia in our hospital from June 2012 to June 2013. Prospective analysis the related factors of postoperative urinary retention in patients with intrathecal anesthesia. Results 48 cases have postoperative urinary retention from 230 patients of orthopaedic surgerywith intrathecal anesthesia. Difference of urinary retention group and unurinary retention group is statistically significant (P < 0.05)in age, urine excretion before anesthesia, operation time, intraoperative rehydration, dose to anesthesia, postoperative analgesia. Difference of urinary retention group and unurinary retention group hasn’t statistical significance (P > 0.05) in Sex, body mass index, smoking history, the mode of anesthesia Age, operation time, intraoperative rehydration, anesthetic dosage ≥11.25 mg and postoperative analgesia are the risk factors of postoperative urinary retention with multiariable Logistic regression analysis. The urine excretion before anesthesia are protective factors. Conclusion postoperative urinary retention with intrathecal anesthesia is many factors caused by a temporary performance of bladder dysfunction , Perioperative appropriate management (minimize anesthetic doses, shorten the operation time, control intraoperatie rehydration , preoperative try to drain urine ) can reduce the occurrence of postoperative urinary retention.
