阴道分娩产后尿潴留的高危因素分析与干预对策

Analysis of high risk factors and intervention measures for postpartum urinary retention in vaginal delivery

目的:探讨阴道分娩产后尿潴留的高危因素及护理干预对策。方法:对2015年8月~2016年7月于我院阴道分娩的3256例产妇中发生82例产后尿潴留患者的临床资料进行回顾性分析,分析导致产后尿潴留的高危因素,并对产后尿潴留发生危险因素采取综合干预措施。结果:产前助产、分娩镇痛、产程时间、宫腔封闭和缩宫素等均为产后尿潴留的独立危险因素(P<0.05),且产程时间对产后尿潴留影响的风险程度最大(OR=15.684,P<0.001)。结论:产前助产、分娩镇痛、产程时间、宫腔封闭和缩宫素为产后尿潴留发生独立危险因素,采取综合有效干预措施,有助于改善和预防患者产后尿潴留症状。

Objective： To explore the high risk factors and intervention measures for postpartum urinary retention in vaginal delivery. Methods： To analyze the clinical data of 82 cases of postpartum urinary retention among 3256 parturients who gave birth in our hospital from August 2015 to July 2016 retrospectively,analyze the high risk factors of postpartum urinary retention,and taken the comprehensive intervention measures to the risk factors of postpartum urinary retention. Results： Prenatal deliveries,labor analgesia,labor time,uterine cavity closure and oxytocin were independent risk factors of postpartum urinary retention（ P 〈 0. 05）,and labor time had the greatest risk impact on postpartum urinary retention（ OR = 15. 684,P 〈 0. 001）. Conclusion： Prenatal deliveries,labor analgesia,labor time,uterine cavity closure and oxytocin were independent risk factors for postpartum urinary retention. Comprehensive and effective intervention measures were helpful to improve and prevent the symptoms of postpartum urinary retention.