Milligan-Morgan术后出现胃肠道症状危险因素Logistic回归分析  

Logistic regression analysis of risk factors for gastrointestinal symptoms after Milligan-Morgan operation

作　　者：余显畅 钟雄东 YU Xianchang;ZHONG Xiongdong(Department of General Surgery,Zhuhai People's Hospital,Zhuhai 519000,China)

机构地区：[1]珠海市人民医院普外科,珠海519000

出　　处：《广州医药》2020年第2期81-84,共4页Guangzhou Medical Journal

摘　　要：目的回顾分析我医院近8年混合痔行Milligan-Morgan术式治疗的患者的临床病历资料,探索术后出现胃肠道症状的危险因素。方法选取我医院2012年1月—2019年6年期间行Milligan-Morgan术式治疗的混合痔患者1221例,分成术后胃肠道症状组和未出现胃肠道症状组,比较两组间的差异,分析其相关危险因素。结果1221例混合痔患者中出现胃肠道症状的为168例,发生率为13.8%(168/1221);单因素分析结果显示,高血压、全麻麻醉方式是术后出现胃肠道症状的相关因素,差异有统计学意义;多因素Logistic回归分析结果显示,高血压、全麻麻醉方式是术后出现胃肠道症状的独立危险因素。结论混合痔患者行Milligan-Morgan术式治疗出现胃肠道症状率较高;围手术期控制患者血压,以及慎重选择全麻麻醉方式可能有效减少胃肠道症状发生率。Objective To explored the risk factors of gastrointestinal symptoms after operation by retrospectively analyzing the clinical records of patients with mixed hemorrhoids treated by Milligan-Morgan operation in our hospital in recent 8 years.Methods 1221 patients with mixed hemorrhoids treated by Milligan-Morgan operation in our hospital from January 2012 to June 2016 were divided into two groups:the group with digestive tract symptoms after operation and the group without digestive tract symptoms.The differences between the two groups were compared and the related risk factors were analyzed.Results Among 1221 patients with mixed hemorrhoids,168 had gastrointestinal symptoms,whose incidence was 13.8%(168/1221).Univariate analysis showed that hypertension and general anesthesia were the related factors of gastrointestinal symptoms after operation,and the difference was statistically significant.Multivariate logistic regression analysis showed that hypertension and general anesthesia were the independent risk factors.Conclusion Milligan-Morgan operation for mixed hemorrhoids has a high incidence of digestive tract symptoms.Perioperative blood pressure control and careful selection of general anesthesia may effectively reduce the incidence of digestive tract symptoms.

关 键 词：MILLIGAN-MORGAN术 胃肠道症状 危险因素 LOGISTIC回归分析 

分 类 号：R657.18[医药卫生—外科学]