Multiplicity Logistic analysis of surgical treatment of intestinal obstruction and follow-up study on the patients receiving conservative treatment
TANG Yang
PENG Qiong
Abstract：Objective To investigate the predictive factors of surgical treatment for patients with intestinal obstruction and to follow-up the patients receiving conservative treatment in department of internal medicine. Methods The clinical data about 160 adult patients with intestinal obstruction who were treated in our hospital from January 2014 to December 2015 were retrospectively analyzed. These patients were divided into medical treatment group (n = 88)and surgical treatment group (n =77),the clinical data were analyzed and compared between two groups,moreover,the patients in both groups were followed up. Results The hospital days in medical treatment group were significantly shorter than those in surgical treatment group (P <0. 05). There were significant differences in the severe and frequent vomiting,fever,white blood cell count,abdominal mass, hypoalbuminemia,electrolyte imbalance,ascites,complete intestinal obstruction,colonic obstruction,image examination results between the two groups (P < 0. 05). Logistic regression analysis showed that severe and frequent vomiting,abdominal mass,hypoalbuminemia,electrolyte imbalance,ascites,complete intestinal obstruction and colonic obstruction were the influencing factors of surgical intervention. The follow-up of conservative treatment showed that the relapse rates of adhesive intestinal obstruction were the highest,next enteric cavity torsion,the intestinal obstruction caused by abdominal cavity inflammation. The average relief time of intestinal obstruction was (23. 16 ± 1. 56)m,and accumulative relapse rate of 6 months was (18. 0 ± 4. 8)%,moreover,the accumulative relapse rate of 1 year was (26. 8 ± 5. 8)% . COX regression single factor analysis showed that conservative treatment had no effects on long-term relapse of intestinal obstruction. Conclusion The severe and frequent vomiting,abdominal mass,hypoalbuminemia,electrolyte imbalance,ascites,complete intestinal obstruction and colonic obstruction are kay indexes of needing surgical intervention,moreover,conservative treatment is not related with long-term relapse of intestinal obstruction.
Keywords：intestinal obstructionsurgical interventionrelapserisk factors
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 2743-2746 )