新生儿坏死性小结肠炎的临床表现、BELL分期及手术治疗的高危因素研究

Research of the Clinical Manifestation,BELL Staging and the High Risk Factors of Operative Treatment of Neonatal Necrotizing Small Colitis

分析新生儿坏死性小结肠炎的临床表现、BELL分期及手术治疗的高危因素。选取100例新生儿坏死性小结肠炎患者分为实验组与对照组,每组各50例患儿。观察记录新生儿的临床表现、BELL分期及手术治疗的高危因素。通过对100例新生儿的观察发现,新生儿坏死性小结肠炎分为一期、二B期、二A期、三期。两组坏死性小结肠炎新生儿的临床表现为腹胀、呕吐、血便等现象,两组患儿之间经对比,差异无统计学意义(P>0.05),两组患儿X线下的CRP水平以及PLT水平对比,差异具有统计学意义(P<0.05)。手术治疗的高危因素较多,包括CRP上升异常、PLT下降、肠鸣音消失等,同时采用BELL分期可对新生儿病情的严重程度等起到良好的评估效果。

The research analyzes the clinical manifestation,BELL staging and the high risk factors of operative treatment of neonatal necrotizing small colitis.100 newborn patients with necrotizing small colitis are selected as the experimental group and control group,with 50 newborns in each group.Clinical manifestation,BELL staging and the high risk factors of operative treatment of newborns are recorded and observed.Through observation of 100 newborns,the neonatal necrotizing small colitis is divided into the first,the second B,the second A and the third stage.The clinical manifestations of the neonatal necrotizing small colitis in two groups include abdominal distension,emesis and bloody stools,etc.Through comparison,there is no statistically significant difference between two groups(P>0.05).There is statistically significant difference in CRP and PLT levels under X ray(P<0.05).There are more risk factors in operation treatment,including abnormal CRP elevation,PLT decline and the disappearance of borborygmus,etc.The combined application of BELL staging can play good evaluation effect on the severity degree of the newborns.