先天性巨结肠患儿根治术后并发小肠结肠炎的影响因素分析

Influencing factors of enterocolitis after radical operation in children with Hirschsprung's disease

目的探讨先天性巨结肠患儿根治术后并发小肠结肠炎的影响因素。方法回顾分析郑州大学附属儿童医院2018年1月—2020年1月收治的216例先天性巨结肠并接受先天性巨结肠根治术治疗的患儿。统计患儿术后小肠结肠炎的发生情况,并进行单因素和多因素分析。结果216例患儿中,发生术后小肠结肠炎57例,发生率为26.39%。单因素和多因素分析结果显示,术前合并营养不良、术前合并上呼吸道或肺部感染、术前合并小肠结肠炎、术后伤口感染是患儿术后并发小肠结肠炎的危险因素(P<0.05)。结论术前营养不良、感染症状等情况的先天性巨结肠患儿术后发生小肠结肠炎的风险较高,建议对于此类患儿要提高警惕,实施针对性的护理治疗,以降低患儿术后并发症的发生风险。

Objective To investigate the risk factors of enterocolitis after radical operation in children with Hirschsprung's disease.Methods A total of 216 children with Hirschsprung's disease who received radical surgery in Children's Hospital affiliated to Zhengzhou University from January 2018 to January 2020 were retrospectively analyzed.The incidence of postoperative enterocolitis was analyzed,and univariate and multivariate analyses were performed.Results Postoperative enterocolitis occurred in 57 of 216 children,with an incidence of 26.39%.The results of univariate and multivariate analysis showed that preoperative malnutrition,preoperative upper respiratory tract or pulmonary infection,preoperative enterocolitis,postoperative wound infection were the most common factors for postoperative enterocolitis in children(P<0.05)with Hirschsprungs disease.Conclusions Children with Hirschsprung's disease who are malnourished and infected before operation are at higher risk of developing enteritis after operation.It is recommended to be more vigilant about such children before operation and implement targeted nursing and treatment methods to reduce the risk of postoperative complications in children.