摘要
目的探讨腰椎间盘突出症手术患者尿失禁症状的相关因素。方法以便利抽样法选取2017年6月1日—2018年5月31日上海某家三级甲等及某家二级甲等医院诊断为腰椎间盘突出症且行外科手术治疗患者的病历资料336份,对患者基本资料、诊断、腰突节段、症状、合并症、手术方式、麻醉方式、实验室检查、镇痛泵、留置导尿等进行单因素及多因素分析。结果共计调查336例腰椎间盘突出症患者病例,其中尿失禁发生率为29.5%。多因素分析结果显示生育史、合并症(糖尿病、心脏病、脑梗死、腰椎管狭窄)、症状(便秘、尿路感染)、留置导尿及其留置天数9项因素是腰椎间盘突出症行手术治疗患者的独立危险因素(P<0.05)。结论行外科手术的腰椎间盘突出症患者发生尿失禁的比例较高,且与多种因素相关,医护人员应根据相关因素对高危患者及时进行筛查和早期干预,降低尿失禁的发生率。
ObjectiveTo explore the related factors of urinary incontinence among patients with surgery for lumbar disc herniation(LDH).MethodsFrom 1st June 2017 to 31st May 2018,we selected 336 medical records of LDH patients with surgical therapy at a ClassⅢGrade A hospital and a ClassⅡGrade A hospital in Shanghai by convenience sampling.Single factor analysis and multiple factors analysis were used to patients'basic data,diagnosis,segments of LDH,symptoms,complications,types of surgery,types of anesthesia,laboratory examination,patient-controlled analgesia and indwelling urinary catheters.ResultsA total of 336 medical records of LDH patients were investigated with 29.5%for the incidence of urinary incontinence.Multiple factors analysis showed that the independent risk factors of patients with surgery for LDH included 9 factors involving the childbearing history,complications(diabetes,heart disease,cerebral infarction,lumbar spinal stenosis),symptoms(constipation and urinary tract infection),indwelling urinary catheters and indwelling days(P<0.05).ConclusionsThe incidence of urinary incontinence of patients with surgery for LDH is high and is related to many factors.Medical staff should carry out screening in time and early intervention for high-risk patients according to related factors to reduce the incidence of urinary incontinence.
作者
单娟
张静
顾海燕
彭蕾
齐小文
张翠红
许方蕾
Shan Juan;Zhang Jing;Gu Haiyan;Peng Lei;Qi Xiaowen;Zhang Cuihong;Xu Fanglei(Department of Gastroenterology and Hematology,Tongji Hospital of Tongji University,Shanghai 200065,China;Surgical Intensive Care Unit,Tongji Hospital of Tongji University,Shanghai 200065,China;Nursing Department,Shanghai Eighth People's Hospital,Shanghai 200235,China;Nursing Department,Tongji Hospital of Tongji University,Shanghai 200065,China)
出处
《中华现代护理杂志》
2019年第11期1405-1408,共4页
Chinese Journal of Modern Nursing
基金
上海市科委课题(16411951800).
关键词
尿失禁
腰椎间盘突出症
相关因素
Urinary incontinence
Lumbar disc herniation
Related factors
