摘要
目的探讨良性肛肠疾病患者术后急性尿潴留的预后因素。方法回顾性分析2016年6月～2018年6月455例良性肛肠疾病的临床资料,31例(6. 8%)术后发生急性尿潴留,对患者年龄、性别、BMI、ASA分级、术前合并症、手术方式、手术范围、麻醉方法、手术时间、液体入量、出血量和术后镇痛补救情况等进行单因素分析,多因素logistic回归分析良性肛肠疾病患者术后急性尿潴留的预后因素。结果单因素分析显示年龄、性别、ASA分级、术前合并糖尿病、麻醉方法、手术范围、液体入量和术后镇痛补救有统计学差异(P <0. 05)。多因素logistic回归分析显示年龄≥76岁(OR=7. 002,95%CI:1. 181～41. 532,P=0. 032)、性别(OR=10. 322,95%CI:1. 633～65. 232,P=0. 013)、ASA分级(OR=4. 134,95%CI:1. 080～15. 823,P=0. 038)、糖尿病(OR=13. 715,95%CI:2. 032～92. 558,P=0. 007)、手术范围(OR=4. 546,95%CI:1. 681～12. 296,P=0. 003)、麻醉方法(OR=3. 241,95%CI:1. 558～6. 741,P=0. 002)和术后镇痛补救(OR=7. 289,95%CI:1. 479～35. 914,P=0. 015)是良性肛肠疾病患者术后发生急性尿潴留的独立预后因素。结论年龄、性别、糖尿病、手术范围、麻醉方法和术后镇痛补救是良性肛肠疾病患者术后发生急性尿潴留的预后因素,针对预后因素进行干预可能减少术后急性尿潴留的发生。
Objective To explore prognosis factors of postoperative acute urinary retention in patients with benign anorectal diseases.Methods A total of 455 patients with benign anorectal diseases admitted to our hospital from June 2016 to June 2018 were retrospectively analyzed.The age,gender,BMI,classification of ASA,preoperative accompanying diseases, surgical scope, anesthesia methods, operation time, fluid intake, blood loss and postoperative analgesia remediation were collected.Multivariable logistic regression model was used to analyze the prognosis factors of postoperative acute urinary retention in patients with benign anorectal diseases.Results Univariate analysis showed that age, gender, classification of ASA, diabetes, surgical scope, anesthesia methods, fluid intake and postoperative analgesia remediation had significant differences (P < 0.05).Multivariable logistic regression analysis showed that age ≥76 years old (OR = 7.002,95% CI: 1.181 - 41.532, P = 0.032), gender (OR = 10.322, 95% CI: 1.633 - 65.232, P = 0.013),classification of ASA (OR = 4.134,95% CI:1.080 - 15.823,P = 0.038), diabetes ( OR = 13.715, 95% CI: 2.032 - 92.558, P = 0.007 ), surgical scope ( OR = 4.546, 95% CI: 1.681 - 12.296, P = 0.003 ), anesthesia methods ( OR = 3.241, 95% CI: 1.558 - 6.741, P = 0.002) and postoperative analgesia remediation (OR = 7.289, 95% CI: 1.479 - 35.914, P = 0.015) were independent prognosis factors for postoperative acute urinary retention in patients with benign anorectal diseases.Conclusions Age, gender, diabetes, surgical scope, anesthesia methods and postoperative analgesia remediation can be used as early prognosis factors for postoperative acute urinary retention in patients with benign anorectal diseases.Interventions for early prognosis factors may reduce the prognosis of postoperative acute urinary retention.
作者
王宝宁
李伟
崔晶
周宝龙
王蕾
姚兰
Wang Baoning;Li Wei;Cui Jing(Department ofAnesthesia, Peking University International Hospital, Beijing 102206, China)
出处
《中国微创外科杂志》
CSCD
北大核心
2019年第4期294-297,302,共5页
Chinese Journal of Minimally Invasive Surgery
关键词
良性肛肠疾病
尿潴留
预后因素
Benign anorectal disease
Urinary retention
Prognosis factor
作者简介
通讯作者:姚兰,E-mail:yaolan@pkuih. edu.cn.
