术后粘连性肠梗阻相关危险因素分析  

Analysis of related risk factors of postoperative adhesions of intestinal obstruction

作　　者：宗德宝 王尚毓 刘斌 

机构地区：[1]吴起县人民医院普外科,陕西吴起717600

出　　处：《延安大学学报（医学科学版）》2017年第1期53-55,共3页Journal of Yan'an University:Medical Science Edition

摘　　要：目的对于术后粘连性肠梗阻的相关危险危险因素进行分析。方法回顾性分析了2012-06~2015-06我院普通外科收治的120例胃肠道手术患者,所有病例分为两组,观察组46例,均诊断为粘连性肠梗阻,对照组74例,未发生粘连性肠梗阻。采用SPSS19.0统计软件进行数据分析,计量资料采用t检验,计数资料采用卡方(χ2)检验,有统计学意义的因素采用多因素Logistic回归分析,并计算各因素的相对危险度OR值。检验标准α=0.05,P<0.05,表示差异具有统计学意义。结果单因素分析有意义的手术相关因素有:手术方式、手术切口大小、手术时间、手术出血量;围手术期因素有:前白蛋白水平、手术输注红细胞量等9个危险因素与术后肠梗阻密切相关(P<0.05)。对有意义的9个变量行多因素Logistic回归分析,共有6个进入Logistic回归方程,按其相关的强度依次为:术中出血量、结直肠癌根治术、前白蛋白水平、阑尾切除术、手术时间。结论对于术后粘连性肠梗阻的形成相关危险因素多样化的问题,需要根据术前、术中、术后的各项因素来评估,这对预防术后粘连性肠梗阻至关重要。Objective To analyze the risk factors of postoperative adhesions of intestinal obstruction.Methods A retrospective analysis of 120 cases of gastrointestinal surgery patients in June 2012 to June 2015 I was admitted to hospital general surgery,and divided into two groups.46 cases of observation group were diagnosed as intestinal obstruction,the control group of 74 cases,no obstructive intestinal obstruction occurred.SPSS 19.0 statistical software was used for data analysis and measurement data using t test.The multivariate logistic regression analysis was used to calculate the relative risk of each factor and the confidence interval of 95%.The test standard α = 0.05,P〈0.05,indicating that the difference was statistically significant.Results Univariate analyses of meaningful surgical related factors are：surgical approach,surgical incision size,operation time,surgical bleeding; Perioperative factors：prealbumin level and other nine risk factors were closely related to postoperative intestinal obstruction（P〈0.05）.Multivariate logistic regression analysis was performed on nine significant variables.Six consecutive logistic regression equations were followed by intraoperative blood loss,colorectal cancer radical resection,prealbumin level,appendectomy and operation time.Conclusion The problem of the risk factors associated with the formation of postoperative adhesions of intestinal obstruction needs to be assessed on the basis of preoperative,intraoperative and postoperative factors.It is essential to prevent postoperative adhesions of intestinal obstruction.

关 键 词：粘连性肠梗阻 腹部手术 危险因素 

分 类 号：R656[医药卫生—外科学]