Multivariate Analysis of Intestinal Dysfunction in Children with Postoperative Intestinal Atresia:Based on A Survey Report Somewhere
Objective To explore and analyze the factors of intestinal dysfunction in children after intesti-nal atresia,so as to prevent the occurrence of intestinal dysfunction.Methods From August 2018 to May 2023,total 82 newborns with congenital intestinal atresia were selected from several tertiary hospitals in Tengzhou area,among which 12 children with intestinal dysfunction were classified as the disorder group,and 70 children with normal intestinal function were classified as the normal group.The clinical da-ta of all the children were statistically analyzed,and the incidence of intestinal dysfunction was recorded and multivariate analysis was performed.Results In 82 cases,the mean time of the first postoperative defecation was(3.22±0.21)d.There was no significant difference between the two groups in terms of gender,age and birth weight(P＞0.05),but there were significant differences between the two groups in terms of premature birth,body weight,atresia location,pathological classification,pulmonary infection and anastomotic leakage(P＜0.05).The results of Logistic regression analysis showed that preterm birth,atresia location,body weight,pathological classification,pulmonary infection and anastomotic leakage were the risk factors for intestinal dysfunction in postoperative children with intestinal atresia(P＜0.05).Pearson analysis showed that preterm birth,body weight,atresia location,pathologic classification,pulmonary infection and anastomotic leakage were positively correlated with the time of first bowel move-ment in postoperative children with intestinal atresia(P＜0.05).Conclusion The incidence of intesti-nal dysfunction is higher in postoperative children with intestinal atresia.Weight,premature delivery,loca-tion of atresia,pathological classification,pulmonary infection and anastomotic leakage are the risk factors for postoperative intestinal dysfunction of intestinal atresia.
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