Wohlrab Kyle J, Erekson Elisabeth A, Korbly Nicole B, Drimbarean Calin D, Rardin Charles R, Sung Vivian W
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Alpert Medical School at Brown University, Providence, RI, USA.
Am J Obstet Gynecol. 2009 May;200(5):571.e1-5. doi: 10.1016/j.ajog.2008.11.021. Epub 2009 Feb 14.
The objective of the study was to estimate the association between regional anesthesia and acute postoperative urinary retention in women undergoing outpatient midurethral sling procedures.
We performed a retrospective cohort study of women undergoing outpatient midurethral sling procedures. Exposure was defined as the type of anesthesia, categorized as regional (spinal or combined spinal/epidural) or nonregional (general endotracheal, monitored anesthesia care with sedation, or local). The outcome, acute postoperative urinary retention, was defined as a failed voiding trial prior to discharge.
A total of 131 women met our inclusion criteria. Forty-two women (32%) had regional anesthesia and 89 (68%) women had non-regional anesthesia. Overall, 48 women (36.6%) had acute postoperative urinary retention. Women who had regional anesthesia had an increased odds (adjusted odds ratio, 4.4; 95% confidence interval, 1.9-10.2) of acute postoperative urinary retention compared with women receiving nonregional anesthesia.
Regional anesthesia is a risk factor for acute postoperative urinary retention following outpatient midurethral slings.
本研究的目的是评估门诊中段尿道吊带术女性患者区域麻醉与术后急性尿潴留之间的关联。
我们对接受门诊中段尿道吊带术的女性进行了一项回顾性队列研究。暴露因素定义为麻醉类型,分为区域麻醉(脊髓麻醉或脊髓/硬膜外联合麻醉)或非区域麻醉(全身气管内麻醉、镇静下监测麻醉护理或局部麻醉)。结局指标术后急性尿潴留定义为出院前排尿试验失败。
共有131名女性符合我们的纳入标准。42名女性(32%)接受区域麻醉,89名女性(68%)接受非区域麻醉。总体而言,48名女性(36.6%)发生术后急性尿潴留。与接受非区域麻醉的女性相比,接受区域麻醉的女性发生术后急性尿潴留的几率增加(调整后的优势比为4.4;95%置信区间为1.9 - 10.2)。
区域麻醉是门诊中段尿道吊带术后急性尿潴留的一个危险因素。