椎管麻醉下全髋关节置换术后患者发生尿潴留的危险因素分析  

Risk factors of developing postoperative urinary retention in patients undergoing total hip arthroplasty under spinal anesthesia

作　　者：潘富文[1] 杜秀藩[1] 陈小燕 张国如[1] 陈运崇[1] 冯健 邓睿 PAN Fu-wen;DU Xiu-fan;CHEN Xiao-yan;ZHANG Guo-ru;CHEN Yun-chong;FENG Jian;DENG Rui(Department of Orthopaedics,Hainan Third People′s Hospital,Sanya 572000,China)

机构地区：[1]海南省第三人民医院骨科

出　　处：《广西医学》2019年第11期1381-1384,共4页Guangxi Medical Journal

摘　　要：目的探讨椎管麻醉下全髋关节置换术后患者发生尿潴留的危险因素。方法回顾性分析118例椎管麻醉下行全髋关节置换术患者的临床资料,记录患者术后尿潴留发生情况,并分析患者术后发生尿潴留的影响因素。结果椎管麻醉下全髋关节置换术后患者尿潴留发生率为23.7%,术中大量输液及既往有尿潴留病史为椎管麻醉下全髋关节置换术后患者发生尿潴留的危险因素(均P<0.05)。结论术中大量输液及既往有尿潴留病史是椎管麻醉下全髋关节置换术后患者发生尿潴留的危险因素。Objective To investigate the risk factors of developing postoperative urinary retention in patients undergoing total hip arthroplasty under spinal anesthesia. Methods The clinical data of 118 patients undergoing total hip arthroplasty under spinal anesthesia were retrospectively analyzed.The occurrence of urinary retention after operation was recorded,and the influencing factors of developing urinary retention after operation were analyzed. Results The incidence of urinary retention after total hip arthroplasty under spinal anesthesia was 23.7%.Massive intraoperative infusion and previous history of urinary retention were risk factors for developing urinary retention after total hip arthroplasty under spinal anesthesia(all P <0.05). Conclusion Massive intraoperative infusion and previous history of urinary retention are risk factors for developing urinary retention after total hip arthroplasty under spinal anesthesia.

关 键 词：椎管麻醉 全髋关节置换术 尿潴留 危险因素 

分 类 号：R684.75[医药卫生—骨科学]