DiBlasi Susan M
Department of Anesthesia, Women and Infants Hospital of Rhode Island, 101 Dudley Street, Providence, RI 02905, USA.
J Perianesth Nurs. 2013 Jun;28(3):128-36. doi: 10.1016/j.jopan.2012.07.012.
Cesarean delivery (CD) is the second most commonly performed surgery in the United States. As such, prevention of complications associated with this procedure is a top priority in nursing care. Nurses at the study institution perceived that postcesarean patients experienced increased urinary retention after use of spinal morphine for postoperative pain relief. This observation prompted a review of the literature indicating that limited research had been conducted in this area. The purpose of this study was to explore the relationship of postelective CD urinary retention and dose of spinal morphine. A retrospective, quasi-experimental, three-group design was used. Records of 150 patients, ages 17 to 39, undergoing elective primary or repeat CD were examined. Morphine doses included 100, 150, and 200 mcg. No statistically significant differences were found between the three groups.
剖宫产（CD）是美国第二常见的外科手术。因此，预防与该手术相关的并发症是护理工作的首要任务。研究机构的护士认为，剖宫产术后使用脊髓吗啡缓解术后疼痛后，患者尿潴留情况增加。这一观察结果促使对文献进行回顾，结果表明该领域的研究有限。本研究的目的是探讨择期剖宫产术后尿潴留与脊髓吗啡剂量之间的关系。采用回顾性、准实验性、三组设计。检查了150例年龄在17至39岁之间接受择期初次或再次剖宫产患者的记录。吗啡剂量包括100、150和200微克。三组之间未发现统计学上的显著差异。
