普外科开腹手术患者术后功能性肠梗阻发生的相关危险因素分析  

Analysis of related risk factors of functional intestinal obstruction in general surgical patients after open abdominal surgery Fang

作　　者：方美珍[1] 温培英[1] 徐永强[1] 陈建英[1] Meizhen;Wen Peiying;Xu Yongqiang;Chen Jianying(Department of General Surgery, the First People＇s Hospital of Huzhou, Hazhou 313000, China)

机构地区：[1]浙江省湖州市第一人民医院普外科,313000

出　　处：《中华现代护理杂志》2018年第8期931-935,共5页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目（2016ZDA017）

摘　　要：目的 分析普外科开腹手术患者术后功能性肠梗阻发生的相关危险因素,探讨可行的护理预防措施.方法 回顾性分析2015年1月—2017年1月在浙江省湖州市第一人民医院普外科行开腹手术的658例患者的临床资料,根据术后功能性肠梗阻发生情况,将患者分为肠梗阻组和非肠梗阻组,将两组患者年龄、性别、手术时间、麻醉方式、术后镇痛药物的使用（阿片类、非阿片类药物）、腹部手术史、吸烟史、饮酒史、糖尿病史、高血压病史等情况进行单因素分析,对差异有统计学意义的影响因素进行Logistic回归分析,探讨影响开腹患者术后功能性肠梗阻发生的危险因素.结果 658例开腹手术患者中有47例发生术后功能性肠梗阻,发生率为7.14%.单因素分析结果显示,两组患者的性别、年龄、手术时间、术后镇痛药物的使用、腹部手术史和糖尿病史差异有统计学意义（P〈0.05）.多因素Logistic回归分析的结果显示,性别、年龄、手术时间、腹部手术史和糖尿病史是术后功能性肠梗阻发生的危险因素（P〈0.01）.结论 普外科开腹手术患者术后功能性肠梗阻发生的相关危险因素有性别、年龄、手术时间、腹部手术史和糖尿病史,应根据患者相关危险因素采取相应的护理预防措施.Objective To analyze the related risk factors of functional intestinal obstruction in general surgical patients and to discuss the feasible nursing and prevention measures. Methods The clinical data of totally 658 patients after abdominal surgery who received open abdominal surgery in the Department of General Surgery of the First People＇s Hospital of Huzhou in Zhejiang Province from January 2015 to January 2017 were retrospectively analyzed. These patients were divided into the intestinal obstruction group and the non-intestinal obstruction group based on the occurrence of postoperative functional intestinal obstruction. The single factor analysis was then conducted over the age, gender, operation time, anesthesia, postoperative analgesic use （opioids and non-opioids）, abdominal operation history, smoking history, alcohol drinking history, diabetes mellitus history and history of hypertension; and Logistic regression analysis was also performed on the influencing factors to determine the impact of functional intestinal obstruction in patients who received open abdominal surgery. Results Totally 47 out of the 658 patients receiving open abdominal surgery developed functional intestinal obstruction, with an incidence of 7.14%. The univariate analysis showed that there were statistically significant differences between the two groups in gender, age, operation time, postoperative analgesic use, history of abdominal surgery and history of diabetes mellitus （P〈0.05）. According to the multivariate Logistic regression analysis, gender, age, operation time, history of abdominal surgery and history of diabetes were the risk factors of postoperative functional intestinal obstruction （P〈0.01）. Conclusions The relevant risk factors for postoperative functional intestinal obstruction in general surgical patients after abdominal surgery include gender, age, operation time, history of abdominal surgery and diabetes mellitus. Corresponding nursing and prevention measures should be taken according to the relevan

关 键 词：肠梗阻 功能性 危险因素 开腹手术 预防 

分 类 号：R473.6[医药卫生—护理学]