自闭保护性回肠插管造口者并发堵管性肠梗阻的危险因素分析  

An Analysis on the Risk Factors in the Patients Undergoing Self-closed Ileum-cannula Ostomy Later Complicated with Intestinal Obstruction Clogged

作　　者：陈琼 CHEN Qiong(Dept.of Combined Internal Medicine,the TCM Hosptial of Yancheng District,Luohe,Henan 295100)

机构地区：[1]漯河市郾城区中医院综合内科,河南漯河295100

出　　处：《中国肛肠病杂志》2022年第5期49-51,共3页Chinese Journal of Coloproctology

摘　　要：目的:探讨影响自闭保护性回肠插管造口者并发堵管性肠梗阻的危险因素。方法:回顾2018年7月至2020年12月于我院接受自闭保护性回肠插管造口的180例患者资料,根据术后是否发生堵管性肠梗阻分为梗阻组与未梗阻组,比较2组患者临床资料,并进行多因素Logistic回归分析,分析影响堵管性肠梗阻发生的危险因素。结果:180例患者术后发生堵管性肠梗阻22例(12.22%)。梗阻组体质量指数(BMI)>25.0kg/m^(2)、术中出血量≥200mL、术后腹腔感染、半流质饮食、每日活动量<3000步、置管时间>31d的患者比例明显高于未梗阻组,P<0.05。多因素Logistic回归分析显示,BMI(>25.0kg/m^(2))、置管时间(>31d)、术后腹腔感染是导致自闭保护性回肠插管造口者并发堵管性肠梗阻的独立危险因素,P<0.05。结论:超重、置管时间过长、术后腹腔感染的自闭保护性回肠插管造口者并发堵管性肠梗阻风险高。临床工作中,应尽量缩短置管时间,积极预防术后腹腔感染,并做好超重患者的回肠插管造口冲洗工作。Objective To investigate the risk factors in the patients undergoing self-closed ileum-cannula ostomy later complicated with intestinal obstruction(IO)clogged.Methods Reviewed the data of 180patients underwent self-closed ileum-cannula ostomy in author’s hospital(2018-07-2020-12),according to with or without clogged IO divided them into IO group and no-IO group;then,compared both groups’clinical data,took multi-variate logistic regression analysis on the data,so analysed the risk factors influencing clogged IO happening.Results In the 180cases,22suffered from clogged IO(12.22%,22/180)of whom being of BMI>25.0kg/m^(2)(1),intraoperative bleeding volume≥200mL,postoperative infection in abdominal cavity(2),semi-liquid diet,activity/d<3000steps,the time for placed catheter>31days(3)and whose ratio in IO group significantly higher than in no-IO group(P<0.05);multi-variate logistic regression analysis shown(1),(2)and(3)were independent risk factors inducing clogged IO(P<0.05).Conclusion Overweight,placed catheter time being overlong,and postoperative infection in abdominal cavity,if patients possess,then they have higher risk for complicated with clogged IO,thus clinically it should be as possible as to shorten placement time,actively prevent postoperative abdominal cavity infected,and make better irrigation during ostomy of overweight patients.

关 键 词：回肠插管造口 堵管性肠梗阻 危险因素 

分 类 号：R574.2[医药卫生—消化系统]