术后早期炎性肠梗阻危险因素分析

目的探讨腹部手术后早期炎性肠梗阻的危险因素。方法回顾分析本院2008年1月-2012年6月收治的38例术后早期炎性肠梗阻的临床资料，按1：2的比例与同期接受手术的76例未发生术后早期炎性肠梗阻的患者比较，logistic分析寻找术后早期炎性肠梗阻的危险因素。结果全部病例均治愈，其中非手术治疗治愈33例（86．84％）。Logistic回归分析发现，行（胃）肠切除（OR2．01，95％CI1．15～6．07）、手术时间≥180min（OR4．38，95％CI2．15-11．65）及开腹手术（OR5．59，95％CI1．15—9．23）是EPIIO发生的独立危险因素。结论（胃）肠切除、长手术时间及开腹手术与术后早期炎性肠梗阻的发生有关。

Risk factor analysis of early postoperative inflammatory intestinal obstruction

Objective To explore the risk factors of early postoperative inflammatory intestinal obstruction. Methods A retrospective analysis was conducted on 38 cases of early postoperative inflammatory intestinal obstruction （EPIIO） of which the patients were admitted in between January 2008 and June 2012. The data collected were compared with 76 non-EPIIO cases. The independent risk factors of EPIIO were detected by logistic analysis. Results Among the 38 patients who were cured, 33 （86.84%） of them underwent conservative treatment. The Logistic analysis revealed that bowel resection （OR 2.01, 95%CI 1.15 and 6.07） with operation time I〉 180 minutes （OR 4.38, 95%CI 2.15 and 11.65） and open surgery （OR 5.59, 95%CI 1.15 and 9.23） were the independent risk factors for EPIIO. Conclusion Bowel resection, longer operation time and open surgery were related to EPIIO.