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患有良性门疾病手术的患者术后尿的危险因素:一项嵌套病例对照研究
Bin Liu1,2, Yali Chen1, Pei Zhang1
1Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu, 610041, China.
BMC anesthesiology
|August 5, 2024
概括
在直肠外科手术后,术后尿 (POUR) 在19.05%的患者中发生. 关键的危险因素包括女性性别,良性前列腺增生 (BPH),严重的疼痛,患者控制的外周止痛 (PCEA) 和更长的手术时间.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 麻醉学 麻醉学
背景情况:
- 手术后的尿 (POUR) 是直肠手术后的常见并发症.
- 了解其发病率和风险因素对于患者管理至关重要.
研究的目的:
- 为了确定在患有良性疾病而接受直肠外科手术的患者中POUR的发生率.
- 为了确定与POUR相关的风险因素.
- 开发一个用于POUR的预测名录.
主要方法:
- 一项嵌套病例对照研究与609名患者进行.
- 数据分析包括单变量和多变量逻辑回归.
- 开发了一个名图,用于手术前预测POUR.
主要成果:
- 普尔的发生率为19.05%.
- 确定了独立的风险因素:女性性别,患有良性前列腺增生症 (BPH) 的男性,严重的术后疼痛 (VAS > 6),患者控制的外周止痛疗法 (PCEA),以及手术持续时间 > 30 分钟.
- 良性前列腺增生症 (BPH) 是名图中最重要的预测因素.
结论:
- 对POUR的预防策略应考虑已识别的风险因素:女性性别,BPH,严重疼痛,PCEA和长期手术.
- 开发并验证了一种易于使用的名图,用于在直肠外科手术中进行术前POUR预测.
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