Status quo of urinary retention after mixed hemorrhoid ablation and internal ligation and the influencing factors
Objective To investigate the current status and influencing factors of urinary retention(UR)in patients after mixed hemorrhoid abduction and internal ligation.Methods A total of 224 patients with mixed hemorrhoid surgery who underwent external strip ligation admitted to the hospital from April 2019 to April 2022 were selected as the survey subjects.The clinical data of the patients were collected and questionnaires were conducted using the general information questionnaire,the Zung Self-rating Anxiety Scale(SAS)and the Visual Analogue Scale(VAS).The patients were divided into a case group and a control group according to the incidence of postoperative UR.Univariate and multivariate Logistic regression analysis was applived to analyze the factors influencing the occurrence of postoperative UR in patients with mixed hemorrhoids undergoing exfoliation and endotomy.Results 224 questionnaires were distributed,and 206 valid questionnaires were recovered,with an effective recovery rate of 91.96%,including 74 cases in the case group and 132 cases in the control group.The results of the univariate analysis showed that the patient's gender,age,concomitant diabetes,concomitant urinary system infection,preoperative anxiety status,postoperative constipation,anesthesia mode,2 h postoperative VAS score,anesthesia release time,infusion volume,postoperative first voiding time,surgical operation,high-density lipoprotein cholesterol(HDL-C),blood glucose(Glu),and white blood cell(WBC)levels were the factors affecting the occurrence of postoperative UR in patients with mixed hemorrhoids who underwent extracutaneous internal ligation(P<0.05).Multivariate Logistic regression analysis showed that combined lumbar and hard anesthesia(OR=2.247,95%CI=1.257～4.015,P=0.006),advanced age(OR=1.539,95%CI=1.364～1.736,P<0.001),urinary tract infections(OR=2.709,95%CI=1.258～5.836,P=0.011),preoperative anxiety(OR=2.229,95%CI=1.245-3.990,P=0.007),postoperative 2 h VAS scores(high)(OR=2.833,95%CI=2.080～3.859,P<0.001),postoperative constipation(OR=5.104,95%CI=2.733～9.534,P<0.001),surgical procedures(unreasonable)(OR=9.333,95%CI=4.818～18.080,P<0.001),Glu(high)(OR=4.425,95%CI=2.694～7.268,P<0.001),and HD-CL(low)(OR=0.001,95%CI=0.008,P<0.001)caused an increased risk of UR dissection in patients undergoing external hemorr.Conclusion Nursing staffshould attach great importance to the occurrence of urinary retention in patients with mixed hemorrhoids after undergoing ablation and internal ligation.According to the patient's advanced age,urinary system infection,preoperative anxiety,lumbar and hard joint anesthesia,postoperative pain,postoperative constipation,high blood sugar,low high density lipoprotein cholesterol and other influencing factors,corresponding nursing interventions should be formulated and carefully operated to prevent urinary retention in patients after ablation and internal ligation.
Mixed hemorrhoidsAbduction and internal ligationUrinary retentionStatus quoInfluencing factors
NETL
NSTL
万方数据
