慢性HBV感染者剖宫产术后早期炎性肠梗阻相关因素分析

Related factors analysis of early inflammatory bowel obstruction in chronic HBV infection patients after cesarean section

目的探讨慢性HBV感染者剖宫产术后早期炎性肠梗阻的相关因素及非手术治疗效果。方法回顾性分析慢性HBV感染者剖宫产术后发生早期炎性肠梗阻8例临床资料,并选取慢性HBV感染者同期剖宫产40例作为对照,分析其相关因素及非手术治疗效果。结果本组慢性HBV感染孕妇剖宫产术后肠梗阻发生率为1.4‰,采用非手术治疗后治愈;既往腹部手术史是慢性HBV感染者剖宫产术后早期炎性肠梗阻的单一危险因素,孕次、产次、孕周、胎儿体重、产后出血量、剖宫产手术时间、术后镇痛不增加肠梗阻的危险。结论既往腹部手术史是慢性HBV感染者剖宫产术后早期炎性肠梗阻的危险因素,非手术治疗效果良好。

Objective To study the related factors of early inflammatory bowel obstruction in chronic HBV infection patients after cesarean section and non - operative treatment. Methods Retrospective analysis clinical materials from January 1998 to January 2012 of eight patients with chronic HBV infection who underwent cesarean section and developed early inflammatory bowel obstruction was carried out, and matched 40 patients with chronic HBV infection undergoing cesarean section as control group in the same period. Comparative analysis of related factors and non - operative treatment effectwas also made. Results A total of 8 pregnant patients with chronic HBV infection developed early postoperative inflammatory ileus, after cesarean section ,accounting for 1.4‰, they were trea- ted conservatively and cured. Previous history of abdominal surgery is the single risk factor （Exp（B） = 39.813 ） of early inflammatory in ileus patients with chronic HBV infection patients after cesarean section. Gravidity, parity, gestational age, fetal weight, postpartum hemorrhage, cesarean delivery time, and postoperative analgesia do not increase the risk of intestinal obstruction. Conclusions The history of previous abdominal surgery should be alert to develop ileus in patients with chronic HBV infection ＂,after cesarean section. Non - surgical treatment has a good effect . Early diagnosis and early treatment are the key issue for treating early inflammatory bowel ob- struction in patients with chronic HBV infection ＂,after cesarean section.