结直肠术后延迟性肠麻痹的危险因素分析  

An Analysis of Risk Factors of Delayed Enterplegia after Colorectal Surgery

作　　者：刘盼盼 朱广立 LIU Pan-pan;ZHU Guang-li(Puyang County's People's Hospital,Puyang,Henan 457100)

机构地区：[1]河南省濮阳县人民医院,河南濮阳457100

出　　处：《中国肛肠病杂志》2021年第5期51-53,共3页Chinese Journal of Coloproctology

摘　　要：为探讨影响结直肠术后延迟性肠麻痹发生的危险因素,回顾2019年1月至2020年5月于我院全麻下行结直肠手术的260例患者资料,其中术后发生延迟性肠麻痹75例,分析影响术后延迟性肠麻痹发生的危险因素。结果单因素分析显示,年龄、手术方式、手术部位、术中液体输入量、术后应用静脉自控镇痛泵与结直肠术后延迟性肠麻痹发生有关,P<0.05。多因素Logistic回归分析显示,手术方式(开腹手术)、术后应用静脉自控镇痛泵为结直肠术后延迟性肠麻痹发生的独立危险因素,P<0.05。肠麻痹者术后住院时间和医疗费用均多于非肠麻痹者,P<0.05。结果表明,对于开腹手术、术后应用静脉自控镇痛的结直肠手术者,应关注延迟性肠麻痹问题,以减轻患者痛苦,减少住院时间,降低患者经济负担。This study was to investigate the risk factors of delayed enteroplegia after colorectal surgery,reviewed the data of 260 cases who had received surgery in authors’hospital from 2019-01 to 2020-05,including 75 postoperative delayed enteroplegia patients,analysed the factors influencing delayed enteroplegia pathogenesis.As results,univariate analysis showed age,procedures,operating site,intraoperative transfusion volume,and postoperative usage of PCIA were related to delayed enteroplegia pathogenesis(P<0.05);multi-variate analysis Logistic regressionshowed procedures(open surgery),and postoperative usage of PCIA were indepent risk factor(P<0.05);enteroplegia patients’hospitalization time and cost were more than non-enteroplegia patients’ones(P<0.05).Results show that for the patients to be subject to open coloproctological surgery and postoperatively received PCIA,it should be to care delayed enteroplegia,so that relieve patients’sufferings,reduce hospitalization time,and decrease their economic burden.

关 键 词：结直肠手术 术后延迟性肠麻痹 影响因素 分析 

分 类 号：R656[医药卫生—外科学]