文章摘要
杜敏,王立荣,宣然,陶应田,何磊,陈炯.粘连性肠梗阻患者需手术治疗的影响因素分析[J].中国临床保健杂志,2020,23(5):695-697.
粘连性肠梗阻患者需手术治疗的影响因素分析
The analysis of the influencing factors for the surgical treatment of adhesive intestinal obstruction
投稿时间:2020-04-20  
DOI:10.3969/J.issn.1672-6790.2020.05.029
中文关键词: 肠梗阻  结直肠外科手术  影响因素分析  预后
英文关键词: Intestinal obstruction  Colorectal surgery  Root cause analysis  Prognosis 〖FL
基金项目:安徽省合肥市卫健委应用医学研究项目(hwk2018zc015)
作者单位E-mail
杜敏 安徽医科大学第三附属医院胃肠外科,合肥 230061 ahdumin20@163.com 
王立荣 安徽医科大学第三附属医院胃肠外科,合肥 230061  
宣然 安徽医科大学第三附属医院胃肠外科,合肥 230061  
陶应田 安徽医科大学第三附属医院胃肠外科,合肥 230061  
何磊 安徽医科大学第三附属医院胃肠外科,合肥 230061  
陈炯 中国科学技术大学附属第一医院安徽省立医院普外科] ch_jiong@126.com 
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中文摘要:
      目的 探讨粘连性肠梗阻患者需手术治疗的影响因素。方法 回顾性分析2017年1月至2020年1月安徽医科大学第三附属医院胃肠外科50例粘连性肠梗阻患者相关资料,将患者分为保守治疗组28例及手术治疗组22例,分析肠梗阻需手术的相关因素。结果 单因素分析结果,粘连性肠梗阻患者需手术治疗的相关因素为白细胞计数、腹腔积液、腹膜刺激征(P<0.05),与性别、年龄、保守治疗时间、肠管扩张程度等无关(P>0.05),多因素分析表明腹腔积液是肠梗阻需手术治疗的独立危险因素(P<0.05,OR>1)。结论 影响粘连性肠梗阻患者需手术治疗的因素是白细胞计数、腹腔积液和腹膜刺激征。
英文摘要:
      Objective To explore the influencing factors related to the operation of adhesions intestinal obstruction.Methods A retrospective analysis of 50 patients with adhesive intestinal obstruction in gastrointestinal surgery of the third affiliated hospital of Anhui medical university from January 2017 to January 2020.The patients were divided into two groupswith 28 cases in conservative treatment group and 22 cases in operative treatment group.The influence factors of the operation of intestinal obstruction were analyzed according to different treatment methods.Results The single factor analysis showed that the influence factors of the operation of adhesions intestinal obstruction included leukocyte counts,peritoneal effusion and peritoneal irritation sign (P<0.05),and were not related with age,gender,conservative treatment time and degree of intestinal dilatation (P>0.05).Multivariate analysis showed that the content of ascites was an independent risk factor (P<0.05,OR>1).Conclusion The factors affecting the operation of adhesive intestinal obstruction includes leukocyte counts,peritoneal effusion and peritoneal irritation sign.
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