在接受整形外科手术的儿科患者中,术后尿 (POUR) 的发展
Julie Desorcy1, Michelle Czarnecki2, Melodee Liegl3
1Orthopedic Clinician, Children's Wisconsin, 8915 W Connell Ct, Milwaukee, WI 53226, United States of America.
Journal of pediatric nursing
|November 21, 2025
概括
儿科骨科患者的手术后尿 (POUR) 与不运动和增加阿片类药物使用有关. 早期检测和干预是管理POUR风险因素的关键.
科学领域:
- 儿科手术 儿科手术
- 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:
- 手术后尿 (POUR) 是骨科手术后儿科患者的一种并发症.
- 确定POUR的风险因素对于及时干预和改善患者结果至关重要.
研究的目的:
- 确定导致儿科骨科患者POUR的变量.
- 为了确定这个人群中POUR发展的预测因素.
主要方法:
- 对146名儿科患者 (73名POUR患者,73名对照患者) 的回顾性图表审查.
- 组间患者特征和术后因素的比较.
- 条件后勤回归分析用于识别预测变量.
主要成果:
- POUR组在术后表现出更大的不运动性,并且在更长时间内服用了更多的阿片类药物.
- 阿片类药物的消费,阿片类药物暴露的持续时间,术后不运动和患者控制的止痛 (PCA) 被确定为POUR的预测因素.
- 两组在手术前的移动性,神经障碍的存在和手术期间的内置导管 (IUC) 放置方面相似.
结论:
- 护士可以利用已识别的预测因素,在儿科骨科患者中早期检测POUR.
- 建议在IUC移除之前进行主动膀扫描和评估移动性和阿片类药物需求.
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