摘要
目的探讨混合痔术后并发尿潴留的相关影响因素并加以分析。方法回顾性分析2022年1月至2023年1月福建中医药大学附属人民医院收治的315例混合痔手术患者的临床资料,根据是否出现术后尿潴留将患者分为尿潴留组(72例)及排尿正常组(243例)。通过单因素分析及多因素logistic回归分析筛选混合痔术后并发尿潴留的相关影响因素。结果患者术后并发尿潴留的发生率为22.9%,多因素logistic回归分析结果显示,既往良性前列腺增生病史(OR=8.028,95%CI=2.564~17.328,P=0.007)、椎管内麻醉方式(OR=1.487,95%CI=0.369~4.681,P=0.021)、术后疼痛(OR=2.659,95%CI=1.014~6.811,P=0.017)为混合痔术后并发尿潴留的独立危险因素;术后应用针刺治疗(OR=0.469,95%CI=0.089~0.957,P=0.010)为混合痔术后并发尿潴留的保护性因素。结论通过识别具有相关危险因素的患者,可为临床混合痔个体化治疗方案的选择及并发症的有效干预提供良好的参考依据,降低术后尿潴留的发生率。
Objective To explore and analyze the relevant influencing factors of postoperative urinary retention in patients with mixed hemorrhoids.Methods The clinical data of 315 patients with mixed hemorrhoids admitted to the Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine from January 2022 to January 2023 were retrospectively analyzed.According to whether postoperative urinary retention occurred,the patients were divided into urinary retention group(72 cases)and normal urination group(243 cases).The relevant influencing factors of postoperative urinary retention were screened by univariate analysis and multivariate logistic regression analysis.Results The incidence of postoperative urinary retention was 22.9%.Multivariate logistic regression analysis showed that previous history of benign prostatic hyperplasia(OR=8.028,95%CI=2.564-17.328,P=0.007),intraspinal anesthesia(OR=1.487,95%CI=0.369-4.681,P=0.021),postoperative pain(OR=2.659,95%CI=1.014-6.811,P=0.017)were independent risk factors for urinary retention after mixed hemorrhoids;acupuncture treatment(OR=0.469,95%CI=0.089-0.957,P=0.010)was the protective factor for urinary retention after mixed hemorrhoids.Conclusion Through the identification of patients with related risk factors,it can provide a good reference for the selection of clinical personalized treatment of mixed hemorrhoids and effective intervention of complications,reduce the incidence of postoperative urinary retention.
作者
廖欢欢
林世强
林威
陈磊
吴许雄
石荣
LIAO Huanhuan;LIN Shiqiang;LIN Wei;CHEN Lei;WU Xuxiong;SHI Rong(Department of Anesthesia,the Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou350004,China;Department of Anorectal Surgery,the Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou350004,China)
出处
《中国当代医药》
CAS
2024年第6期33-36,共4页
China Modern Medicine
基金
福建省科技厅科技计划项目(2021Y0035)。
关键词
混合痔
术后尿潴留
LOGISTIC回归分析
危险因素
Mixed hemorrhoids
Postoperative urinary retention
Logistic regression analysis
Risk factors
