本文選題：剖宮產(chǎn) + 腸梗阻�。� 參考：《新疆醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:探討剖宮產(chǎn)術(shù)后發(fā)生腸梗阻的相關(guān)危險(xiǎn)因素。方法:本研究以我院自2013年7月至2016年6月期間發(fā)生剖宮產(chǎn)術(shù)后腸梗阻的40例患者作為病例組,以隨機(jī)選取同時(shí)期住院行剖宮產(chǎn)術(shù)術(shù)后未發(fā)生腸梗阻的200例患者作為對(duì)照組,并將病例組和對(duì)照組的臨床資料進(jìn)行回顧性分析;同時(shí),采用單因素及多因素Logistic回歸方法對(duì)可能的臨床危險(xiǎn)因素進(jìn)行分析。結(jié)果:在調(diào)查的8934例患者中,有40(4.5‰)例剖宮產(chǎn)術(shù)后發(fā)生腸梗阻。多因素Logistic回歸顯示:民族(哈薩克族)(OR=6.05,95%CI=1.53-28.83),急診手術(shù)(OR=3.12,95%CI=1.36-7.17),手術(shù)時(shí)間≥1h(OR=2.54,95%CI=1.12-5.75),術(shù)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),術(shù)中行子宮肌瘤剔除術(shù)(OR=8.95,95%CI=2.02-39.63)等是剖宮產(chǎn)術(shù)后發(fā)生腸梗阻的危險(xiǎn)因素(均P0.05)。結(jié)論:剖宮產(chǎn)術(shù)后腸梗阻是多種因素聯(lián)合作用的結(jié)果,應(yīng)盡早診斷及盡早治療,民族(哈薩克族)、急診手術(shù)、手術(shù)時(shí)間≥1h、術(shù)中出血量≥800ml、慢性盆腔炎及術(shù)中行子宮肌瘤剔除術(shù)是剖宮產(chǎn)術(shù)后發(fā)生腸梗阻的危險(xiǎn)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，

本文編號(hào)：2046408