腹部术后早期炎性肠梗阻的相关因素及护理对策

目的探讨腹部术后早期炎性肠梗阻的发生原因及护理预防策略。方法回顾性分析2009年6月～2011年6月收治的100例腹部术后早期炎性肠梗阻患者的临床资料，另选100例腹部术后无早期炎性肠梗阻的患者作为对照组，对影响其发生的相关危险因素进行单因素及多因素分析。结果早期炎性肠梗阻与年龄（P=0．046）、手术方式（P〈0．001）、腹部手术史（P〈0．001）、肠道准备情况（P〈0．001）及手术时间（P=0．035）有关，开腹手术（P=0．032）、有腹部手术史（P=0．018）及术前未行肠道准备（P=0．008）是腹部术后早期炎性肠梗阻发病的独立性危险因素。结论在一定程度上腹部术后早期炎性肠梗阻是可以预防的，通过腹腔镜手术、充分的肠道准备、心理护理及健康教育等护理预防对策可降低其发生率。

To analyze the related risk factors of early postoperative inflammatory small bowel obstruction （EPISBO） after abdominal operation and its nursing measures

Objective To investigate the cause of early postoperative inflammatory small bowel obstruction（EPISBO） after abdominal operation and the appropriate nursing countermeasures. Methods The clinical data of 100 cases with EPISBO treated in our hospital from Jun 2009 to Jun 2011 were analyzed retrospectively,and 100 cases of patients without EPISBO were taken as control cases,the related risk factors of EPISBO were analyzed by univariate analysis and multivariate analysis. Results Univariate analysis revealed correlations between EPISBO and various factors rang- ing from patient age（P = 0.046） ,type of surgery（P 〈 0.001 ） ,history of abdominal surgery（P 〈 0.001 ） ,preparation of intestinal （P 〈 0.001 ）to operation time （P = 0.035 ）. However, in multivariate analysis, open surgery （P = 0.032）, histo ry of abdominal surgery（P = 0.018）,and no preparation of intestinal for surgery （P = 0.008） were found to be inde- pendent risk factors. Conclusion To some extent,EPISBO after abdominal operation can be prevented. Laparoscopic surgery, preparation of intestinal, implementing psychological care and health care education can reduce its incidence.