川北医学院学报2017，Vol.32Issue(4)：514-517,4.DOI:10.3969/j.issn.1005-3697.2017.04.010
剖宫产术后尿潴留影响因素分析
Analysis of influencing factors of postpartum urinary retention after cesarean section
摘要
Abstract
Objective: To investigate the incidence of postpartum urinary retention (PUR) after cesarean delivery and analyze the influencing factors.Methods:The study recruited 793 pregnant women who had a cesarean delivery and followed catheterization before operation routinely.The type of anesthesia sellected combined spinal epidural anesthesia.The postvoid residual bladder volume (PVRBV) was estimated with an ultrasound scan after first micturition.The patient were divided into 2 groups:PUR group(PVRBV ≥150 mL) and control group.The characteristics of two groups were analysised to determine the risk factors of postpartum urinary retention.Results:Of the 761 participants,the overall incidence of PUR was 23.1%.The incidence of overt and covert PUR was 4.6% and 18.5%,respectively.After induction of urination or indwelling catheter,the PUR basically recovered.Unconditional Logistic regression analysis showed morphine-related postoperative analgesia,inadequate glycaemic control and low body mass index were significantly associated with PUR.Conclusion:PUR is a common phenomenon in maternal who has a cesarean delivery.Morphine-related postoperative analgesia,inadequate glycaemic control and low body mass index are the main influence factor.关键词
尿潴留/剖宫产/影响因素Key words
Urinary retention/Cesarean delivery/Influencing factors分类
医药卫生引用本文复制引用
袁芳,罗友军,彭丽琴,付俊霞,田甜..剖宫产术后尿潴留影响因素分析[J].川北医学院学报,2017,32(4):514-517,4.基金项目
山东省卫生厅项目(2014WS0178) （2014WS0178）
