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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 569 - 576 (8page)
- DOI
- https://doi.org/10.4111/icu.20200523
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초록· 키워드
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Purpose: This prospective, randomized, controlled study investigated the use of tamsulosin, a selective alpha-blocker, as a prophylactic medication to prevent postoperative urinary retention (POUR) following lower limb arthroplasty.
Materials and Methods: The criterion for diagnosing POUR was used a postoperative bladder volume over 400 mL with incomplete emptying. Patients who underwent primary total hip or knee arthroplasty were randomly assigned at a 1:1 ratio to tamsulosin treatment and non-treatment groups at a single center from September 2018 to November 2018. The treatment group received 0.2 mg of tamsulosin orally once at night for 3 days starting on postoperative day 1. During this 3-day period, an indwelling Foley catheter was maintained. The incidence of POUR according to tamsulosin treatment following lower limb arthroplasty was the primary outcome.
Results: In total, 100 patients were enrolled, of whom 5 discontinued participation. POUR was diagnosed in 20 of the remaining 95 patients (21.1%). The treatment group contained 48 patients, of whom 6 (12.5%) developed POUR, whereas POUR occurred in the 14 of the 47 patients (29.8%) in the non-treatment group. Tamsulosin treatment reduced the risk of POUR by two-thirds (odds ratio [OR], 0.337; 95% confidence interval [CI], 0.117?0.971; p=0.044). The risk reduction associated with tamsulosin treatment remained robust post-adjustment for potential covariates (OR, 0.250; 95% CI, 0.069?0.905; p=0.038).
Conclusions: Tamsulosin administration immediately after lower limb arthroplasty reduced the incidence of urinary retention and diminished the need for long-term catheterization.
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참고문헌 (3)
참고문헌 신청
Mohammadreza Mohammadi-Fallah / 2012 / Preventive Effect of Tamsulosin on Postoperative Urinary Retention / Investigative and Clinical Urology 53(6):419~423
이광수 / 2011 / Predictors of Successful Trial without Catheter for Postoperative Urinary Retention Following Non-Urological Surgery / International Neurourology Journal 15(3):158~165
정철 / 2016 / Risk factors for urinary retention after vaginal hysterectomy for pelvic organ prolapse / Obstetrics & Gynecology Science 59(2):137~143
이광수 / 2011 / Predictors of Successful Trial without Catheter for Postoperative Urinary Retention Following Non-Urological Surgery / International Neurourology Journal 15(3):158~165
정철 / 2016 / Risk factors for urinary retention after vaginal hysterectomy for pelvic organ prolapse / Obstetrics & Gynecology Science 59(2):137~143
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