腰椎椎间融合术患者导尿管拔除后尿潴留的影响因素及干预研究进展
Research Progress on Influencing Factors and Intervention of Urinary Retention in Patients with Lumbar Interbody Fusion after Catheter Removal
摘要: 腰椎融合术患者早期拔除导尿管后易发生尿潴留，存在需要间歇导尿或重置留置导尿管的情况，变相地延长了导尿管的留置时间，从而增加了患者尿路感染的风险，进而延长了患者住院时间，增加了患者的经济负担。该文就腰椎椎间融合术患者导尿管拔除后发生尿潴留的影响因素、危害及加速康复理念下的干预措施进行综述，以期为临床腰椎椎间融合术患者减少拔管后尿潴留的发生及正确处理尿潴留提供参考。
Abstract: Patients with lumbar fusion are prone to urinary retention after early removal of catheter, and intermittent catheterization or replacement of indwelling catheter is required, which prolongs the indwelling catheter time, thereby increasing the risk of urinary tract infection, extending the length of hospital stay and increasing the financial burden of patients. In this paper, the influencing factors and hazards of urinary retention in patients with lumbar interbody fusion after catheter removal and the intervention measures under the concept of accelerated rehabilitation were reviewed, in order to provide a reference for reducing the occurrence of urinary retention in patients with lumbar interbody fusion after catheter removal and correct treatment of urinary retention.
文章引用：刘琪, 王艳. 腰椎椎间融合术患者导尿管拔除后尿潴留的影响因素及干预研究进展[J]. 护理学, 2024, 13(4): 380-387. https://doi.org/10.12677/ns.2024.134056

参考文献

[1] Mobbs, R.J., Phan, K., Malham, G., et al. (2015) Lumbar Interbody Fusion: Techniques, Indications and Comparison of Interbody Fusion Options Including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. Journal of Spine Surgery, 1, 2-18.
[2] 陈赞, 雷飞, 叶飞, 等. 短节段腰椎融合后引流时间与早期疗效的关系[J]. 中国组织工程研究, 2024, 28(6): 927-933.
[3] Zhao, L., Manchikanti, L., Kaye, A.D., et al. (2019) Treatment of Discogenic Low Back Pain: Current Treatment Strategies and Future Options—A Literature Review. Current Pain and Headache Reports, 23, Article No. 86. [Google Scholar] [CrossRef] [PubMed]
[4] Golubovsky, J.L., Ilyas, H., Chen, J., et al. (2018) Risk Factors and Associated Complications for Postoperative Urinary Retention after Lumbar Surgery for Lumbar Spinal Stenosis. The Spine Journal, 18, 1533-1539. [Google Scholar] [CrossRef] [PubMed]
[5] Altschul, D., Kobets, A., Nakhla, J., et al. (2017) Postoperative Urinary Retention in Patients Undergoing Elective Spinal Surgery. Journal of Neurosurgery: Spine, 26, 229-234. [Google Scholar] [CrossRef] 
[6] Debono, B., Wainwright, T.W., Wang, M.Y., et al. (2021) Consensus Statement for Perioperative Care in Lumbar Spinal Fusion: Enhanced Recovery after Surgery (ERAS®) Society Recommendations. The Spine Journal, 21, 729-752. [Google Scholar] [CrossRef] [PubMed]
[7] 袁洪霞. 改良拔尿管法及诱导排尿法在老年患者中的临床效果研究[J]. 中西医结合心血管病电子杂志, 2020, 8(20): 73 76.
[8] 李蓉, 官昕, 谢金红, 等. 留置尿管致导管相关性尿路感染的影响因素及干预研究进展[J]. 护士进修杂志, 2018, 33(16): 1463-1465.
[9] Lee, K.S., Koo, K.C. and Chung, B.H. (2017) Risk and Management of Postoperative Urinary Retention Following Spinal Surgery. International Neurourology Journal, 21, 320-328. [Google Scholar] [CrossRef] [PubMed]
[10] 黄华萍. 腰椎内固定手术患者术后尿潴留的影响因素分析及护理[J]. 当代护士(上旬刊), 2020, 27(6): 27-29.
[11] Reed, L.A., Mihas, A.K., Fortin, T.A., et al. (2022) Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Surgery: A Review of Current Literature and Meta-Analysis. Global Spine Journal, 13, 1658-1670. [Google Scholar] [CrossRef] [PubMed]
[12] 梁敏, 李同莲, 刘选艳, 等. 胸腰椎骨折术后患者早期拔除尿管的研究进展[J]. 中西医结合心血管病电子杂志, 2020, 8(30): 91 101.
[13] 付静文, 张璠, 张未. 腰椎全麻手术患者术后排尿功能障碍的危险因素分析[J]. 实用医院临床杂志, 2020, 17(5): 10-12.
[14] 祁金梅, 李伦兰, 张静, 等. 腰椎内固定术患者拔除尿管后发生尿潴留重置尿管相关影响因素分析[J]. 护士进修杂志, 2021, 36(18): 1704-1707.
[15] Tan, C., Kaliya-Perumal, A.K., Ho, G., et al. (2021) Postoperative Urinary Retention Following Thoracolumbosacral Spinal Fusion: Prevalence, Risk Factors, and Outcomes. Cureus, 13, E19724. [Google Scholar] [CrossRef] [PubMed]
[16] Strickland, A.R., Usmani, M.F., Camacho, J.E., et al. (2021) Evaluation of Risk Factors for Postoperative Urinary Retention in Elective Thoracolumbar Spinal Fusion Patients. Global Spine Journal, 11, 338-344. [Google Scholar] [CrossRef] [PubMed]
[17] Aiyer, S.N., Kumar, A., Shetty, A.P., et al. (2018) Factors Influencing Postoperative Urinary Retention Following Elective Posterior Lumbar Spine Surgery: A Prospective Study. Asian Spine Journal, 12, 1100-1105. [Google Scholar] [CrossRef] [PubMed]
[18] Bowman, J.J., Edwards, C.N., Dean, C., et al. (2021) Incidence and Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Fusion. Clinical Spine Surgery, 34, E397-E402. [Google Scholar] [CrossRef] 
[19] McDermott, C.D., Tunitsky-Bitton, E., Dueñas-Garcia, O.F., et al. (2023) Postoperative Urinary Retention. Urogynecology (Phila), 29, 381-396. [Google Scholar] [CrossRef] 
[20] 蔡文智, 孟玲, 李秀云. 神经源性膀胱护理实践指南(2017年版) [J]. 护理学杂志, 2017, 32(24): 1-7.
[21] 贾静, 吴小梅, 王金萍. 护士主导的留置导尿管拔除模式构建与实施[J]. 护理学杂志, 2020, 35(9): 48-50.
[22] Gandhi, S.D., Patel, S.A., Maltenfort, M., et al. (2014) Patient and Surgical Factors Associated with Postoperative Urinary Retention after Lumbar Spine Surgery. Spine (Phila Pa 1976), 39, 1905-1909. [Google Scholar] [CrossRef] 
[23] Doherty, R.J., Wahood, W., Yolcu, Y.U., et al. (2020) Chronic Opioid Use Is Associated with Increased Postoperative Urinary Retention, Length of Stay and Non-Routine Discharge Following Lumbar Fusion Surgery. Clinical Neurology and Neurosurgery, 197, Article ID: 106161. [Google Scholar] [CrossRef] [PubMed]
[24] Boulis, N.M., Mian, F.S., Rodriguez, D., et al. (2001) Urinary Retention Following Routine Neurosurgical Spine Procedures. Surgical Neurology, 55, 23-27. [Google Scholar] [CrossRef] 
[25] Mormol, J.D., Basques, B.A., Harada, G.K., et al. (2021) Risk Factors Associated with Development of Urinary Retention Following Posterior Lumbar Spinal Fusion: Special Attention to the Use of Glycopyrrolate in Anesthesia Reversal. Spine (Phila Pa 1976), 46, E133-E138. [Google Scholar] [CrossRef] 
[26] Mayo, B.C., Louie, P.K., Bohl, D.D., et al. (2016) Effects of Intraoperative Anesthetic Medications on Postoperative Urinary Retention after Single-Level Lumbar Fusion. Spine (Phila Pa 1976), 41, 1441-1446. [Google Scholar] [CrossRef] 
[27] Serlin, D.C., Heidelbaugh, J.J. and Stoffel, J.T. (2018) Urinary Retention in Adults: Evaluation and Initial Management. American Family Physician, 98, 496-503.
[28] Kepler, C.K. and Hilibrand, A.S. (2012) Management of Adjacent Segment Disease after Cervical Spinal Fusion. Orthopedic Clinics of North America, 43, 53-62. [Google Scholar] [CrossRef] [PubMed]
[29] Fitzpatrick, M.A., Suda, K.J., Burns, S.P., et al. (2019) Pre-Operative Screening for Asymptomatic Bacteriuria and Associations with Post-Operative Outcomes in Patients with Spinal Cord Injury. The Journal of Spinal Cord Medicine, 42, 255-259. [Google Scholar] [CrossRef] [PubMed]
[30] Hsu, P.C., Lo, Y.C., Wu, P.Y., et al. (2019) The Relationship of Seasonality and the Increase in Urinary Tract Infections among Hospitalized Patients with Spinal Cord Injury. Journal of the Chinese Medical Association, 82, 401-406. [Google Scholar] [CrossRef] 
[31] Schaeffer, E.M. (2015) Re: Types of Indwelling Urethral Catheters for Short-Term Catheterisation in Hospitalised Adults. Journal of Urology, 193, 1263-1264. [Google Scholar] [CrossRef] [PubMed]
[32] Lam, T.B., Omar, M.I., Fisher, E., et al. (2014) Types of Indwelling Urethral Catheters for Short-Term Catheterisation in Hospitalised Adults. Cochrane Database of Systematic Reviews, No. 9, Article ID: CD004013. [Google Scholar] [CrossRef] 
[33] Fletcher, K.E., Tyszka, J.T., Harrod, M., et al. (2016) Qualitative Validation of the CAUTI Guide to Patient Safety Assessment Tool. American Journal of Infection Control, 44, 1102-1109. [Google Scholar] [CrossRef] [PubMed]
[34] 蔺建宇, 崔臣, 高艳平, 等. 加速康复外科在老年肝移植受者围手术期临床应用中的效果[J]. 器官移植, 2023, 14(2): 288-294.
[35] 张洪云, 郑雯, 任能. 利多卡因凝胶在全麻手术患者留置导尿管中的应用及相关护理体会[J]. 当代护士(上旬刊), 2018, 25(11): 69-71.
[36] 刘丹, 王伟, 张亚楠, 等. 利多卡因凝胶在神经外科肿瘤切除病人全身麻醉后留置导尿中的应用效果[J]. 护理研究, 2022, 36(7): 1311-1313.
[37] 郭晓宇, 史冬立, 张振美, 等. 全麻腰椎术后男性患者早期拔除尿管的最佳证据总结[J]. 护理学报, 2020, 27(11): 46-52.
[38] 杨华文, 易凤琼, 曾彦超, 等. 全麻术后患者超早期拔除尿管的临床研究[J]. 护理学报, 2021, 28(5): 66-69.
[39] Scanlon, K., Shakeshaft, A.J. and Cox, M.R. (2019) Reduced Post-Operative Urinary Tract Infection Using the National Surgical Quality Improvement Program. ANZ Journal of Surgery, 89, 848-852. [Google Scholar] [CrossRef] [PubMed]
[40] 林瑞珍, 王晓芬, 胡锦玲, 等. 开塞露诱导尿潴留患者排尿的疗效和护理分析[J]. 护理实践与研究, 2019, 16(24): 144-145.
[41] Malkhasyan, V.A., Kotov, S.V., Mamaev, I.E., et al. (2022) Efficacy and Safety of Intermittent Catheterization for Acute Urinary Retention: A Prospective Comparative Randomized Study. Urologiia, No. 6, 9-15.
[42] Chapman, G.C., Sheyn, D., Petrikovets, A., et al. (2020) Tamsulosin to Prevent Postoperative Urinary Retention after Female Pelvic Reconstructive Surgery. Female Pelvic Medicine & Reconstructive Surgery, 26, 682-687. [Google Scholar] [CrossRef] 
[43] Gao, B., Zhang, D., Wang, Y., et al. (2023) The Effect of Tamsulosin in Postoperative Urinary Retention: A Meta-Analysis of Randomized Controlled Trials. Naunyn-Schmiedeberg's Archives of Pharmacology, 396, 441-451. [Google Scholar] [CrossRef] [PubMed]
[44] Choi, C.I., Kim, J.K., Choo, M.S., et al. (2021) Preventive Effects of Tamsulosin for Postoperative Urinary Retention after Lower Limb Arthroplasty: A Randomized Controlled Study. Investigative and Clinical Urology, 62, 569-576. [Google Scholar] [CrossRef] [PubMed]
[45] Bracey, D.N., Barry, K., Khanuja, H.S., et al. (2022) Postoperative Urinary Retention in Modern Rapid Recovery Total Joint Arthroplasty. Journal of the American Academy of Orthopaedic Surgeons, 30, 443-447. [Google Scholar] [CrossRef] 

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