急性粘连性肠梗阻手术指征多因素分析

Multivariate analysis about surgical indications of acute adhesive intestinal obstruction

目的探讨急性粘连性肠梗阻手术指征的相关影响因素。方法回顾性选择2015年8月至2017年2月在该院接受治疗的急性粘连性肠梗阻患者80例为研究对象,根据不同的治疗方式,将患者分为保守治疗组(n=46)与手术治疗组(n=34),根据患者的临床资料,通过单因素分析、多因素logistic线性回归分析影响手术治疗的相关因素。结果单因素分析结果显示,2组患者肠粘连次数、保守治疗时间、持续腹痛、CT提示肠管扩张、肠鸣音减弱、腹腔积液及白细胞计数升高比较,差异均有统计学意义(P<0.05);经多因素logistic回归分析得出,肠粘连次数、保守治疗时间、持续腹痛、CT提示肠管扩张、肠鸣音减弱、腹腔积液及白细胞计数升高均为患者行手术治疗的重要因素(P<0.05)。结论对于急性粘连性肠梗阻患者,严格地把握手术指征及手术时机,为提高患者的预后提供了一定的基础。

Objective To investigate the related influencing factors of acute adhesive intestinal obstruction operation.Methods A total of80patients with acute adhesive intestinal obstruction in the Affiliated Hospital of Guilin Medical University from August2015to February2017were retrospectively selected.The80cases were divided into the conservative treatment group(n=46)and the surgical treatment group(n=34)according to the different treatment methods.According to the patients′clinical data,the relative effect factors of surgical treatment were analyzed by single factor analysis and multiple logistic regression analysis.Results Single factor analysis results showed,the intestinal adhesion times,conservative treatment time,persistent abdominal pain,CT showed bowel dilatation,decreased bowel sounds,abdominal ultrasound and peritoneal effusion and elevated white blood cell counts were compared in two groups,the differences were statistically significant(P<0.05);multiple logistic regression analysis showed that these factors were important factors in the patients with the surgical treatment(P<0.05).Conclusion Patients with acute adhesive intestinal obstruction should be strictly grasped the surgical indications and operation timing,provides a certain basis for improving the prognosis.