在脊柱外科手术中分析与多尿症相关的因素:一项回顾性研究
Siqi Zhou1, Zhang Tian1, Tiantian Chu1
1Department of Anesthesiology, Hubei Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health, and Wuhan Clinical Research Center for Geriatric Anesthesia, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, 430030, China.
BMC anesthesiology
|April 24, 2025
概括
女性患者,德克斯梅托米丁和多巴胺与脊柱手术期间手术内多尿症增加有关. 这种情况会增加感染,二次手术和更长时间住院的风险.
科学领域:
- 麻醉学 麻醉学
- 神经外科 神经外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 术内尿量监测对于评估患者体积至关重要.
- 术后多尿症可能导致并发症并影响患者的预后.
- 麻醉药物,特别是脊柱手术中的麻醉药物,是造成手术内多尿症的潜在原因.
研究的目的:
- 确定影响脊柱外科手术患者手术内多尿症的因素.
- 分析与手术内多尿症相关的不良影响.
主要方法:
- 对903名脊柱外科手术患者 (2018年9月 - 2021年12月) 的回顾性研究.
- 收集的数据包括人口统计,手术细节,麻醉剂/血管活性药物使用和液体平衡.
- 分析重点关注与手术内多尿症相关的因素及其次要结果.
主要成果:
- 女性性别 (OR 1.933),德克斯梅德托米丁 (OR 1.876),多巴胺 (OR 1.413) 是手术内多尿症的重要危险因素.
- 手术地点也影响了多尿症发生率 (p < 0.001).
- 术后多尿症与感染率增加 (p < 0.05),二次手术 (p < 0.05) 和更长的住院时间 (p < 0.05) 相相关.
结论:
- 女性患者和使用德克斯梅托米丁和多巴胺是手术内多尿症的潜在危险因素.
- 术后多尿症与术后不良结果有关,包括更高的感染和重新手术率.
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