初产妇剖宫产术后肠梗阻的高危因素分析

An Analysis on High Risk Factors of Intestinal Obstruction after Primipara Underwent Cesarean

为探讨初产妇剖宫产术后发生肠梗阻的高危因素,回顾2014年6月至2018年3月于我科行剖宫产且术后发生肠梗阻的35例初产妇资料(观察组),并随机选取同期手术但术后未发生肠梗阻的115例初产妇(对照组)进行对比,应用单因素和多因素Logistic回归分析的方法分析剖宫产术后肠梗阻的高危因素。结果单因素分析显示,2组产妇年龄、孕周、孕次、术后疼痛评分和胎儿生物物理相评分(BPS)比较差异均无统计学意义,P>0.05;与对照组相比,观察组既往手术次数更多,手术时间更长,产后出血量更多,差异均有统计学意义,P <0.05。多因素Logistic回归分析显示,既往手术次数多和产后出血量大是发生术后肠梗阻的高危因素。结果表明,初产妇剖宫产术后发生肠梗阻的高危因素主要有既往手术次数多、产后出血量大,应对上述情况予以重视。

To explore the high risk factors of intestinal obstruction(IO)after primipara underwent cesarean authors retrospectively analyzed the data of 35 cases who received cesarean and suffered from IO in author's dept.,from 2016-06 to 2018-03,as observation group,at the same time selected 115 cases'without IO as control one then compared the two groups;the high risk factors of IO were analysed by using univariate, multi-variate logistic analysis.As results,univariate analysis showed in parturient's age,gestational age, gravidity,as well as the score on postoperative pain and fetus's biophysical profile score (BPS)there was no statistical difference between the two groups(P>0.05);compared with control group the previous timenumber of operation were more,the time for operation more longer,bleeding volume at postpartum more, there were all statistical difference (P<0.05);multi-variate logistics analysis showed more previous operative time-number and more massive volume of bleeding were the high risk factors resulting in postoperative IO.Results show that more previous operative number and more massive volume of bleeding are the high risk factors resulting in postoperative IO for primipara underwent cesarean,it should be paying attention to these parturients.