混合痔术后患者发生尿潴留的危险因素logistic分析

Logistic analysis of risk factors for urinary retention in patients after mixed hemorrhoids

目的探讨混合痔术后尿潴留发生的危险因素及相关预防干预对策。方法选取2017年1月至2019年1月在某院行手术治疗的混合痔患者154例,统计术后尿潴留发生情况,并收集所有患者临床资料,探究术后尿潴留发生的危险因素,并行logistic多因素分析。结果154例混合痔患者术后发生尿潴留34例,发生率为22.08%。Logistic回归分析结果显示,年龄≥60岁(OR=5.755,95%CI:2.541~13.031)、便秘(OR=4.459,95%CI:1.950~10.197)及术后疼痛评分>5分(OR=3.955,95%CI:1.774~8.817)是混合痔术后尿潴留发生的危险因素。结论年龄大于60岁、有便秘、术后疼痛评分大于5分是混合痔术后患者发生尿潴留的危险因素,应及时采取针对性干预对策,减少尿潴留发生,进而提高患者术后生活质量。

Objective To investigate the risk factors of urinary retention after mixed hemorrhoids and related preventive interventions.Methods Totally 154 cases of patients with mixed hemorrhoids who underwent surgery in our hospital from January 2017 to January 2019 were enrolled in this study.The incidence of postoperative urinary retention was counted and the clinical data of all patients were collected.The single factors of urinary retention and urinary retention were compared and Logistic multivariate analysis was performed.Results Thirty-four cases of urinary retention occurred in 154 patients with mixed hemorrhoids,and the incidence rate was 22.08%.Logistic regression analysis showed that age(≥60 years old)(OR=5.755,95%CI:2.541~13.031),constipation(OR=4.459,95%CI:1.950~10.197)and postoperative pain(>5 points)(OR=3.955,95%CI:1.774~8.817)were risk factors for urinary retention after mixed hemorrhoids.Conclusion Age greater than 60 years,constipation,postoperative pain score greater than 5 points is a risk factor for urinary retention in patients after mixed hemorrhoids.Clinically,timely targeted interventions should be taken to reduce the occurrence of urinary retention and improve the quality of life of patients after surgery.