疝修补术后尿潴留——局部、区域和全身麻醉的影响：综述

Postherniorrhaphy urinary retention--effect of local, regional, and general anesthesia: a review.

作者信息

Jensen Peter, Mikkelsen Trine, Kehlet Henrik

机构信息

Department of Surgical Gastroenterology 435, University of Copenhagen, Hvidovre Hospital, Hvidovre, Denmark.

出版信息

Reg Anesth Pain Med. 2002 Nov-Dec;27(6):612-7. doi: 10.1053/rapm.2002.37122.

DOI:10.1053/rapm.2002.37122

PMID:12430114

Abstract

BACKGROUND AND OBJECTIVES

Postherniorrhaphy urinary retention (UR) may depend on the anesthetic technique. We therefore reviewed available published studies of UR in relation to anesthetic technique.

METHODS

A Medline-based search (1966-November 2001) revealed 70 nonrandomized and 2 randomized studies.

RESULTS

The incidence of UR was lower with local anesthesia (LA) (33 in 8991 patients, 0.37%, 95% confidence interval [CI] 0.24%-0.49%) compared with regional anesthesia (RA) (150 in 6191 patients, 2.42%, 95% CI 2.04%-2.81%) and general anesthesia (GA) (344 in 11471 patients, 3.00%, 95% CI 2.69%-3.31%).

CONCLUSION

The low incidence of UR with LA is in accordance with the inhibitory effects of RA and GA on bladder function. Data from newer short-acting techniques of GA and RA are required to define the optimal anesthetic for inguinal herniorrhaphy.

摘要

背景与目的

疝修补术后尿潴留（UR）可能取决于麻醉技术。因此，我们回顾了已发表的关于UR与麻醉技术关系的研究。

方法

基于医学期刊数据库（1966年 - 2001年11月）的检索显示了70项非随机研究和2项随机研究。

结果

与区域麻醉（RA）（6191例患者中有150例，2.42%，95%置信区间[CI] 2.04% - 2.81%）和全身麻醉（GA）（11471例患者中有344例，3.00%，95% CI 2.69% - 3.31%）相比，局部麻醉（LA）时UR的发生率较低（8991例患者中有33例，0.37%，95% CI 0.24% - 0.49%）。