术后尿潴留翻译

1；Postoperative urinary retention: anesthetic and perioperative considerations.Baldini Gabriele, Bagry Hema,

Aprikian Armen, Carli Franco Anesthesiology, 2009, Vol.110 (5), pp.1139-57

术后尿潴留的麻醉及围术期注意事项。

Urinary retention is common after anesthesia and surgery, reported incidence of between 5% and 70%. Comorbidities, type of surgery, and type of anesthesia influence the development of postoperative urinary retention (POUR). The authors review the overall incidence and mechanisms of POUR associated with surgery, anesthesia and analgesia. Ultrasound has been shown to provide an accurate assessment of urinary bladder volume and a guide to the management of POUR. Recommendations for urinary catheterization in the perioperative setting vary widely, influenced by many factors, including surgical factors, type of anesthesia, comorbidities, local policies, and personal preferences. Inappropriate management of POUR may be responsible for bladder overdistension, urinary tract infection, and catheter-related complications. An evidence-based approach to prevention and management of POUR during the perioperative period is proposed

麻醉和手术后发生尿潴留（POUR）是很常见的，相关报道显示发病率5%在70%之间。病人合并症，手术类型，麻醉方式都影响POUR的发生和发展。学者们回顾了所有与手术，麻醉，镇痛相关的尿潴留病例和机制。现已证实超声可以准确评估膀胱潴尿量，进而作为一种诊断尿潴留的标准。术后导尿存在很大的争议，受多种因素的制约，包括手术因素，麻醉类型，并发症，地方政策，个人意愿。对术后尿潴留的不恰当管理可能引起膀胱过度膨胀，尿路感染，导尿管相关并发症。有必要在手术后一段时间内采取一种有实践基础的方法预防术后尿潴留的发生。