Postpartum urinary retention: Evaluation of risk factors.
Postpartum urinary retention: Evaluation of risk factors.
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DOI：
10.4274/tjod.43931
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发表时间：
2018-06
影响因子：
1.1
通讯作者：
Budak MŞ
中科院分区：
文献类型：
--
作者：
Polat M;Şentürk MB;Pulatoğlu Ç;Doğan O;Kılıççı Ç;Budak MŞ
产后尿潴留是指出生后超过6小时没有自发排尿或排尿后残余尿量小于150 cc。如果忽视，产后尿潴留可能导致膀胱去神经支配和逼尿肌无力，需要间歇性导尿或永久性排尿功能障碍。我们的目标是确定产后尿潴留的可能危险因素。本回顾性研究纳入了560例女性受试者。所有获得的数据，包括变量，如年龄，产次，体重指数，产程时间，尿道膀胱导管插入术之间的女性受试者和无产后尿潴留进行了比较。在560例患者中，124例（22.1%）有产后尿潴留。第三阶段的持续时间，从出生到第一次排尿的时间，以及围产期排尿的次数被认为是产后尿潴留的潜在危险因素。与其他研究不同的是，我们的研究揭示了围产期导尿与产后尿潴留的相关性。有和无产后尿潴留的患者在其他变量方面没有统计学显著差异。本研究发现围产期导尿与产后尿潴留之间存在相关性，有研究报道了可能与产后尿潴留发生相关的危险因素。应该进行更多的研究，以调查更大人群的长期结果。
Postpartum urinary retention means the absence of spontaneous micturition more than 6 hours after birth or when residual volume after urination is less than 150 cc. If neglected, postpartum urinary retention may result in bladder denervation and detrusor muscle weakness requiring intermittent catheterization or permanent micturition dysfunction. Our goal was to identify the possible risk factors for postpartum urinary retention. Five hundred sixty female subjects were included in this retrospective study. All data obtained including variables such as age, parity, body mass index, duration of labor, prepartum bladder catheterization were compared between female subjects with and without postpartum urinary retention. Among the 560 patients recruited to our study, 124 (22.1%) had postpartum urinary retention. Third stage duration, time from birth to the first void, and number of peripartum micturitions were found to be potential risk factors for postpartum urinary retention. Different than other studies, our study revealed a correlation between peripartum catheterization and postpartum urinary retention. There were no statistically significant differences between patients with and without postpartum urinary retention in terms of other variables. In this study, a correlation between peripartum catheterization and postpartum urinary retention was found. There are studies that reported the possible risk factors related to the occurrence of postpartum urinary retention. More studies should be conducted to investigate long-term results with larger populations.