股疝患者急诊手术的危险因素分析

Risk factors for emergency femoral hernia repair

目的探讨股疝患者急诊手术的相关危险因素。方法回顾性分析2013年1月至2018年1月,中信惠州医院行股疝手术病程超过1个月103例患者的临床资料。根据手术时机分为急诊手术组(53例)和择期手术组(50例)。对2组患者的临床指标进行单因素分析,将单因素分析中具有统计学意义的因素纳入多因素Logistics回归分析,以确定其是否为股疝急诊手术的独立危险因素。结果单因素分析结果显示,2组间年龄、病程、肝硬化、高血压和慢性阻塞性肺疾病比较,差异均有统计学意义(P<0.001、0.004、0.002、0.036、0.001)。Logistic多因素回归分析显示,年龄、病程、肝硬化和慢性阻塞性肺疾病是急诊手术的独立危险因素(OR=1.062、1.099、11.408、5.558,P=0.026、0.016、0.034、0.042)。结论高龄、病程较长、合并肝硬化和合并慢性阻塞性肺疾病对病程超过1个月的股疝患者的手术时机选择的影响不容忽视。

Objective To explore risk factors for emergency femoral hernia repair. Methods We retrospectively analysed data for patients who underwent femoral hernia repair with course of disease above 1 month between January 2013 and January 2018 in Zhongxin Huizhou Hospital of Guangdong Province. According on the surgical opportunity, the patients were divided into two groups: elective surgery and emergency surgery. The perioperative clinical parameters of the two groups were analyzed by univariate analysis. Then, statistically significant factors in the univariate analysis were subjected to multivariate logistic regression analysis to determine if it was an independent risk factor for emergency femoral hernia surgery. Results Univariate analysis showed that age (P<0.001), the course of disease (P=0.004), liver cirrhosis (P=0.002), hypertension (P=0.036) and chronic obstructive pulmonary disease (COPD)(P=0.001) were associated with emergency femoral hernia repair. Logistic multivariate regression analyses showed age (OR=1.062, P=0.026), the course of disease (OR=1.099, P=0.016), liver cirrhosis (OR=11.408, P=0.034) and COPD (OR=5.558, P=0.042) were the independent risk factors of emergency femoral hernia repair. Conclusion The unneglectable risk factors of patients with femoral hernia surgical opportunity were age, long course of disease, liver cirrhosis and the comorbidities COPD.