非手术治疗上消化道穿孔的风险多因素分析  

Multi-factor Analysis of the Risk of the Nonoperative Treatment of Upper Digestive Tract Perforation

作　　者：陈剑明[1] 陈国平[1] 余良渊[1] 杨政兴[1] 

机构地区：[1]福州市第二医院外科,福建福州350007

出　　处：《中外医疗》2009年第32期12-13,共2页China & Foreign Medical Treatment

摘　　要：目的探讨非手术治疗上消化道穿孔的相关危险因素。方法对157个诊断为上消化道穿孔的病例行经治疗结果分析,Logistic回归模型作单因素分析以及用逐步回归法行多因素分析。结果本组共157例患者获完整治疗,其中12行手术治疗。发生率为7.64%。严重的全身状况、弥漫性腹膜炎、年龄等三因素与非手术治疗的风险有关。相对风险度分别为9.305,5.587,2.973,有统计学意义(P<0.05)。结论严重的全身状况、弥漫性腹膜炎、年龄是上消化道穿孔非手术治疗主要风险因素。Objective To investrgate nonoperative treatment of risk factors for gastrointestinal perforation.Methods Diagnosis of 157 cases of upper digestive tract perforation by non-surgical treatment. The possible risk factors of urethral stricture,was anayzed with logiatic regressive model and multifactors analysis.Results This group was a total of 157 patients were treated, including 12 cases is operative.Incidence rate is7.64%.Serious systemic conditions,diffuse peritonitis,old age is the three factor related with the risk of non-perative treatment-related.relative risk is 9.305,5.587,2.973respectively. There was a significant （P〈0.05）. Conclusion The serious systemic conditions, diffuse peritonitis,older, is risk factors in non-surgical treatment of digestive tract perforation major

关 键 词：非手术治疗 上消化道穿孔 多因素分析 

分 类 号：R655[医药卫生—外科学]