新生儿嵌顿疝肠坏死高危因素logistic回归分析

Logistic regression analysis of high-risk factors for neonatal incarcerated hernia with intestinal necrosis

摘要:

目的：通过logistic回归分析研究新生儿嵌顿疝肠坏死相关的高危因素。方法：回顾性分析以肠管为内容物的新生儿腹股沟嵌顿性斜疝131例的临床资料，其中肠管坏死的病例数14例。通过logistic回归分析，研究新生儿嵌顿疝肠坏死的高危因素。结果：本次嵌顿后手法复位>2次（χ2 =69.289，P2次（χ2 =84.731，P<0.01），肠系膜嵌顿（χ2 =80.233，P<0.01）为新生儿嵌顿疝肠坏死的高危因素。结论：新生儿腹股沟嵌顿疝中对于曾有2次以上嵌顿史或本次嵌顿后已行2次以上手法复位的患儿及肠系膜嵌顿患儿需警惕肠坏死，禁止手法整复，应急诊手术。

Abstract:

OBJECTIVE: To investigate the high-risk factors for neonatal incarcerated hernia with intestinal necrosis by logistic regression analysis. METHODS: Retrospective analysis was performed on the clinical data of 131 neonates with incarcerated oblique inguinal hernia containing the intestine. Of the 131 cases, 14 suffered from intestinal necrosis. The highrisk factors for neonatal incarcerated hernia with intestinal necrosis were determined by logistic regression analysis. RESULTS: Manual reduction after incarceration (>2 times) (χ2 = 69.289, P2 times) (χ2 = 84.731, P<0.01), and mesentery incarceration (χ2 = 80.233, P<0.01) were the high-risk factors for neonatal incarcerated hernia with intestinal necrosis. CONCLUSIONS: Intestinal necrosis tends to occur in neonates with incarcerated hernia who have incarceration or received manual reduction more than twice and suffer from mesentery incarceration. Manual reduction is prohibited for these cases, which should be surgically treated immediately.