剖宫产术后肠梗阻发生状况及相关危险因素分析

Incidence and Risk Factors Analysis of Intestinal Obstruction After Cesarean Section

目的分析剖宫产术后发生肠梗阻的实际状况及相关危险因素。方法选取广东省清远市英德市妇幼保健计划生育服务中心在2018年4月至2019年6月期间收治的42例剖宫产术后发生肠梗阻产妇为计划组,并选取同期收治的42例术后未发生肠梗阻产妇作为预设组,采用Logistic回归分析剖宫产术后发生肠梗阻的危险因素。结果计划组与预设组比较各项观察指标,除全麻方式外均差异无统计学意义(P>0.05);多因素回归分析结果显示,除防黏连药物为术后发生肠梗阻的保护因素(OR<1)外,其他均为危险因素(OR>1)。结论剖宫产术后肠梗阻发生的常见危险因素包括胎膜早破、既往盆腹腔手术史、术中剥除子宫肌瘤,需对实际情况加强管理。

Objective To analyze actual situation and related risk factors of intestinal obstruction after cesarean section.Methods The paper chose 42 cases puerpera with intestinal obstruction after cesarean section in our hospital from April 2018 to June 2019 as planning group,and 42 cases of puerpera without intestinal obstruction in the same period as preset group.Risk factors of intestinal obstruction after cesarean section were analyzed with logistic regression.Results There were significant differences in observation indexes between planning group and preset group except for general anesthesia mode(P>0.05);multivariate regression analysis showed,except anti adhesion drugs were protective factors for postoperative intestinal obstruction(OR<1),others were risk factors(OR>1).Conclusion Common risk factors of intestinal obstruction after cesarean section include premature rupture of membranes,previous pelvic and abdominal surgery history,and removal of hysteromyoma during operation.