泌尿外科全麻术后导尿管相关膀胱刺激征现状调查及影响因素分析  

Investigation and Analysis of the Current Status and Influencing Factors of Urinary Tract Related Bladder Irritation after General Anesthesia in Urology Surgery

作　　者：蔡秋旭 黄梦舒 徐春燕[1] 陈悠悠 许菁[1] CAI Qiuxu;HUANG Mengshu;XU Chunyan;CHEN Youyou;XU Jing(The First People's Hospital of Changzhou City,Changzhou,Jiangsu 213000)

机构地区：[1]江苏省常州市第一人民医院,江苏常州213000

出　　处：《智慧健康》2025年第4期26-29,共4页Smart Healthcare

摘　　要：目的 探讨泌尿外科全麻术后导尿管相关膀胱刺激征(CRBD)发生现状及影响因素,为早期预防提供参考。方法 采用便利抽样法,选取2023年10月—2024年4月于本院行泌尿外科全麻手术的患者389例为研究对象,采用一般资料调查表、视觉模拟评分法(VAS)对患者进行调查。采用Logistics回归模型分析影响泌尿外科全麻术后CRBD发生的相关因素。结果 389例泌尿外科全麻术后患者CRBD发生率为70.44%(274/389);Logistics回归分析结果显示,男性、手术时间长、导尿管置入次数≥2次、采用静吸复合麻醉维持方式为泌尿外科全麻术后发生CRBD的危险因素(OR=2.959、3.089、3.007、1.251,P<0.05)。结论 泌尿外科全麻术后患者CRBD发生率高,男性、手术时间长、导尿管置入次数≥2次、采用静吸复合麻醉维持方式为泌尿外科全麻术后发生CRBD的危险因素;医护人员应给予针对性干预措施,降低CRBD发生率。Objective To explore the current status and influencing factors of catheter-related bladder irritation syndrome(CRBD)after general anesthesia in urology surgery,and provide reference for early prevention.Methods Convenience sampling was used to select 389 patients who underwent general anesthesia surgery in the urology department of our hospital from October 2023 to April 2024 as the research subjects.General information survey forms and visual analog scale(VAS)were used to investigate the patients.Using a Logistics regression model to analyze the relevant factors affecting the occurrence of CRBD after general anesthesia in urology.Results The incidence of CRBD in 389 patients undergoing general anesthesia in urology was 70.44%(274/389);Logistics regression analysis showed that male gender,long surgical time,≥2 catheter insertions,and the use of a combination of intravenous and inhalation anesthesia maintenance were risk factors for CRBD after general anesthesia in urology(OR=2.959,3.089,3.007,1.251,P<0.05).Conclusion The incidence of CRBD in patients undergoing general anesthesia in urology is high.Male gender,long operation time,≥2 catheter insertions,and the use of a combination of intravenous and inhalation anesthesia maintenance are risk factors for CRBD after general anesthesia in urology;Medical staff should provide targeted intervention measures to reduce the incidence of CRBD.

关 键 词：泌尿外科 全麻 导尿管相关膀胱刺激征 影响因素 

分 类 号：R473.6[医药卫生—护理学]