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在使用TIVA进行脊椎手术后,术后尿的性别差异和风险因素

Ansun Jeong^1,2, Mira Han³, Noah Hong¹

¹Department of Neurosurgery, SNU Boramae Hospital, Seoul, Korea.

Journal of Korean Neurosurgical Society

|January 11, 2026

概括

经过全静脉麻醉 (TIVA) 的脊椎手术的男性患者面临更高的术后尿路保留 (POUR) 风险. 关键的危险因素包括骨髓病变,良性前列腺增生 (BPH) 和长时间的麻醉时间.

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:

手术后尿 (POUR) 是手术后的一个常见并发症.
确定POUR的性别特异性风险因素对于有针对性的预防策略至关重要.
全静脉麻醉 (TIVA) 经常用于脊椎手术,需要了解其对POUR的影响.

研究的目的:

为了确定经过TIVA的脊椎手术的患者中POUR的性别特异性风险因素.
为了比较男性和女性患者之间POUR的发病率和风险因素.

主要方法:

对446名成年患者 (268名男性,178名女性) 进行了回顾性图表审查,这些患者接受了TIVA的脊椎手术.
倾向性得分匹配被用来创建一个由328名患者组成的队列 (164名男性,164名女性).
多变量逻辑回归分析确定了POUR的独立风险因素,定义为余尿量≥300mL.

主要成果:

与女性相比,男性患者的POUR发病率较高.
在男性中,POUR的显著风险因素包括骨髓病变 (aOR,5.17),良性前列腺增生 (BPH) (aOR,2.63) 和延长麻醉时间≥240分钟 (aOR,2.54).
骨髓病变和长时间麻醉与整体人口中POUR风险增加有关;女性没有发现任何显著的风险因素.

结论:

男性性别,肌肉病,BPH和长时间的麻醉时间是TIVA脊椎手术后POUR的重要风险因素.
患有骨髓病变,BPH病史或长期麻醉的男性患者需要对POUR保持高度警.

关键词:

麻醉麻醉是一种麻醉.风险因素风险因素性别特征性别特征脊柱脊柱脊柱脊柱脊柱脊柱手术手术手术术术保持尿液的时间

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