剖宫产术后肠梗阻相关危险因素分析

发布时间：2018-06-21 00:48

  本文选题：剖宫产 + 肠梗阻　； 参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:探讨剖宫产术后发生肠梗阻的相关危险因素。方法:本研究以我院自2013年7月至2016年6月期间发生剖宫产术后肠梗阻的40例患者作为病例组,以随机选取同时期住院行剖宫产术术后未发生肠梗阻的200例患者作为对照组,并将病例组和对照组的临床资料进行回顾性分析;同时,采用单因素及多因素Logistic回归方法对可能的临床危险因素进行分析。结果:在调查的8934例患者中,有40(4.5‰)例剖宫产术后发生肠梗阻。多因素Logistic回归显示:民族(哈萨克族)(OR=6.05,95%CI=1.53-28.83),急诊手术(OR=3.12,95%CI=1.36-7.17),手术时间≥1h(OR=2.54,95%CI=1.12-5.75),术中出血量≥800ml(OR=6.21,95%CI=1.67-23.09),慢性盆腔炎(OR=7.36,95%CI=1.84-29.45),术中行子宫肌瘤剔除术(OR=8.95,95%CI=2.02-39.63)等是剖宫产术后发生肠梗阻的危险因素(均P0.05)。结论:剖宫产术后肠梗阻是多种因素联合作用的结果,应尽早诊断及尽早治疗,民族(哈萨克族)、急诊手术、手术时间≥1h、术中出血量≥800ml、慢性盆腔炎及术中行子宫肌瘤剔除术是剖宫产术后发生肠梗阻的危险因素。
[Abstract]:Objective: to investigate the risk factors of intestinal obstruction after cesarean section. Methods: from July 2013 to June 2016, 40 patients with intestinal obstruction after cesarean section in our hospital were selected as the case group, and 200 patients who were hospitalized in the same period were randomly selected as the control group. The clinical data of the case group and the control group were analyzed retrospectively, and the possible clinical risk factors were analyzed by univariate and multivariate logistic regression. Results: among the 8934 patients, 40% 4.5 鈥，

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