[1]孙润物,向广俊,王佚,等.新生儿先天性肠旋转不良术后肠道功能恢复的影响因素分析[J].第三军医大学学报,2019,41(17):1698-1702.
 SUN Runwu,XIANG Guangjun,WANG Yi,et al.Influencing factors for postoperative recovery of intestinal function in neonates with congenital intestinal malrotation[J].J Third Mil Med Univ,2019,41(17):1698-1702.
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
41卷
期数:
2019年第17期
页码:
1698-1702
栏目:
临床医学
出版日期:
2019-09-15

文章信息/Info

Title:
Influencing factors for postoperative recovery of intestinal function in neonates with congenital intestinal malrotation
作者:
孙润物向广俊王佚刘伟
400014 重庆,重庆医科大学附属儿童医院胃肠新生儿外科,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,重庆市儿童发育重大疾病诊治与预防国际科技合作基地
Author(s):
SUN Runwu XIANG Guangjun WANG Yi LIU Wei

Department of Neonatal Gastrointestinal Surgery, Key Laboratory of Child Development and Disorder of Ministry of Education, Chongqing Key Laboratory of Pediatrics, Chongqing International Science and Technology Cooperation Center for Child Development and Disorders, Children’s Hospital of Chongqing Medical University, Chongqing, 400014, China

关键词:
先天性肠旋转不良肠道功能恢复影响因素新生儿
Keywords:
congenital malrotation of intestine recovery of intestinal function influencing factor neonates
分类号:
R181.32; R722.19; R726.569
文献标志码:
A
摘要:

目的探讨新生儿先天性肠旋转不良术后肠道功能恢复的影响因素。方法收集2012年1月至2019年1月208例于我科行手术治疗的新生儿先天性肠旋转不良患儿的临床资料,对可能影响该类患儿术后肠道功能恢复的因素进行回顾性分析。结果新生儿先天性肠旋转不良术后肠道功能恢复与孕母年龄、合并血便、合并肺炎、白蛋白值(入院时)、肠旋转程度无关(P>0.05)。胎龄、出生体质量、合并腹膜炎、合并消化道畸形、联合手术、十二指肠近端直径与新生儿先天性肠旋转不良术后肠道功能恢复有关(P<0.05),其中与达到全肠内营养时间呈负相关的是胎龄(标准回归系数β=-0.206)、出生体质量(β=-0.307),与达到全肠内营养时间呈正相关的是合并腹膜炎(β=0.220)、合并消化道畸形(β=0.344)、联合手术(β=0.412)、十二指肠近端直径(β=0.238)。多元回归分析结果提示出生体质量、合并腹膜炎、联合手术、十二指肠近端直径是达到全肠内营养时间的独立影响因素(P<0.05)。结论出生体质量、合并腹膜炎、联合手术、十二指肠近端直径是新生儿肠旋转不良患儿术后肠道功能恢复的重要影响因素。

Abstract:

ObjectiveTo investigate the factors influencing the recovery of intestinal function after operation in neonates with congenital intestinal malrotation. MethodsThe clinical data of 208 neonates who underwent intestinal malrotation operation in our department from January 2012 to January 2019 were collected and retrospectively analyzed. The factors that might influence the recovery of intestinal function after operation were analyzed. ResultsMaternal age, hematochezia, pneumonia, albumin at admission, and rotation degree were unrelated to the recovery of intestinal function (P>0.05). Gestational age, birth weight, peritonitis, digestive tract malformation, combined surgery, and proximal diameter of duodenum were positively associated with the recovery (P<0.05). The negative influencing factors to the time of achieving full enteral nutrition were gestational age (β=-0.206) and birth weight (β=-0.307), and the positively influencing factors were peritonitis(β=0.220), digestive tract malformation (β=0.344), combined surgery (β=0.412) and proximal diameter of duodenum(β=0.238). The results of multiple regression analysis showed that the independent influencing factors for the time of achieve full enteral nutrition were birth weight, peitonitis, combined surgery, and proximal diameter of duodenum (P<0.05). ConclusionBirth weight, peitonitis, combined surgery, and proximal diameter of duodenum are important factors affecting the recovery of intestinal function in neonates with intestinal malrotation.

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更新日期/Last Update: 2019-09-09