新生儿肠造口相关并发症的影响因素分析  

Analysis of influencing factors of neonatal enterostomy-related complications

作　　者：张敏娣 尚文 ZHANG Mindi;SHANG Wen(NICU,Qingdao Women and Children’s Hospital,Shandong Province,Qingdao 266000,China)

机构地区：[1]青岛市妇女儿童医院NICU,山东青岛266000

出　　处：《妇儿健康导刊》2025年第8期73-76,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析新生儿肠造口相关并发症的影响因素。方法回顾性分析2017年9月至2023年5月在青岛市妇女儿童医院新生儿重症监护室行肠造口术的88例新生儿的临床资料,根据肠造口相关并发症的发生情况将其分为并发症组和非并发症组,并对肠造口相关并发症发生的相关因素进行分析。结果纳入的88例新生儿中,1例死亡,12例放弃治疗,6例失访,最终共随访69例,其中19例出现肠造口相关并发症。单因素分析显示,两组胎龄、肠道原发疾病、术后开瘘时间、术后开奶时间比较,差异有统计学意义(P<0.05)。logistic回归分析显示,术后开瘘时间是新生儿肠造口相关并发症的独立影响因素(OR=0.176,P=0.006)。结论新生儿肠造口相关并发症与术后开瘘时间密切相关,临床应进行针对性干预。Objective To analyze the influencing factors of neonatal enterostomy-related complications.Methods The clinical data of 88 neonates who underwent enterostomy in the neonatal intensive care unit of Qingdao Women and Children’s Hospital from September 2017 to May 2023 were retrospectively analyzed.According to the incidence of enterostomy-related complications,the neonates were divided into complication group and non-complication group,and the related factors of the occurrence of enterostomy-related complications were analyzed Results Among the 88 neonates included,1 died,12 gave up treatment,and 6 were lost to follow-up.A total of 69 cases were followed up,19 of whom developed enterostomy related complications.Univariate analysis showed that there were statistically significant differences in gestational age,primary intestinal disease,postoperative fistula opening time and postoperative milk opening time between the two groups(P<0.05).The logistic regression analysis showed that postoperative fistula opening time was an independent factor influencing neonatal enterostomy-related complications(OR=0.176,P=0.006).Conclusion Neonatal enterostomy-related complications are closely related to postoperative fistula opening time,clinical intervention should be targeted.

关 键 词：新生儿 肠造口 并发症 影响因素 

分 类 号：R722.1[医药卫生—儿科]