绞窄性肠梗阻早期诊断的相关因素调查分析

Correlated risk factors investigation analysis on early diagnosis of strangulated intestinal obstruction

目的:探讨绞窄性肠梗阻发生的相关危险因素,为早期诊断提供依据。方法:回顾性收集150例被确诊为肠梗阻的患者,依据是否发生绞窄性肠梗阻将患者分为绞窄性肠梗阻组(绞窄组=63例)和单纯性肠梗阻组(单纯组=87例);采用单因素分析和多因素Logistic回归法来筛选绞窄性肠梗阻发生的相关危险因素。结果:绞窄性肠梗阻的发生率为42.0%(63/150);多因素Logistic回归分析结果显示腹部手术史(OR=5.342)、发热(OR=5.959)、腹膜刺激征(OR=2.900)、持续性腹痛(OR=2.115)、腹水(OR=2.679)及CRP(OR=2.287)等因素均为绞窄性肠梗阻发生的独立危险因素。结论:绞窄性肠梗阻占肠梗阻的比例较高,应考虑以上独立高危因素早诊断、早治疗,从而改善绞窄性肠梗阻患者的预后。

[Objective] To explore the correlated risk factors of strangulated intestinal obstruction,in order to provide basis for early diagnosis.[Method] Retrospectively collecting 150 cases of a definite diagnosis of intestinal obstruction patients,and these cases were divided into strangulated intestinal obstruction group (strangle group = 63 cases) and simple intestinal obstruction group (simple group = 87 cases) according to whether happening strangulated intestinal obstruction.Then,single comparison between the two groups and multiple factors Logistic Regression method were used to screen correlated risk factors of strangulated intestinal obstruction.[Result]The incidence rate of strangulated intestinal obstruction was 42.0% (63/150).Multiple factors Logistic regression result indicated that history of abdominal operation (OR= 5.342),fever (OR = 5.959),peritoneal irritation sign (OR = 2.900),persistent abdominal pain (OR = 2.115),abdominal dropsy (OR = 2.679) and CRP (OR = 2.287) were the independent risk factors of strangulated intestinal obstruction patients.[Conclusion]Strangulated intestinal obstruction takes a high proportion in the disease of intestinal obstruction.We should consider these above independent risk factors to early diagnosing and treating strangulated intestinal obstruction,thus improve the prognosis of strangulated intestinal obstruction.