新生儿坏死性小肠结肠炎手术决策危险因素分析

2016-07-23李晓泳

中国卫生标准管理 2016年8期

李晓泳

李晓泳

【摘要】目的研究新生儿坏死性小肠结肠炎手术的决策危险因素，为临床中对于新生儿坏死性小肠结肠炎手术的治疗提供指导。方法选取我院2014年2月～2016年2月接诊的110例新生儿坏死性小肠结肠炎进行研究。根据手术后的结果对患儿的临床资料进行危险因素的回顾性分析。结果新生儿坏死性小肠结肠炎多发生在早产儿，且低出生体重儿的患病率高出正常儿，而窒息缺氧、感染、超量喂养是导致患儿为NEC的危险因素。结论应对孕妇怀孕期加强保健，定期到医院进行正规检查，避免生殖道感染及多胎带来的危害，及时防护。降低发病率，在NEC的疾病早期应及时诊断和控制并降低其带来的并发症和病死率。

【关键词】新生儿；坏死性小肠结肠炎；手术决策；危险因素

Objective To study risk factors of the decision-making of neonatal necrotizing enterocolitis operation，for the clinical treatment of neonatal necrotizingenterocolitis surgery to provide guidance. Methods In our hospital，from February 2014 to February 2016 of 110 cases of neonatal necrotizing enterocolitis were analyzed retrospectively. According to surgical results after the clinical data of the children，risk factors were analyzed. Results The results showed that neonatal necrotizing enterocolitis occurred in premature infants. And the prevalence of low birth weight infants was higher than normal children，and asphyxia，infection，excessive feeding was the cause of children with risk factors for NEC. Conclusion The response of pregnancy to strengthen health care，regularly to the hospital for regular inspection，to avoid harm，genital tract infection and multiple births brought timely protection. To reduce the incidence，should timely diagnosis，control and reduce the complications and mortality rate in the early stage NEC disease.

【Key words】 Newborn，Necrotizing enterocolitis，Surgical decision，Risk factors

在新生儿中，早产儿是最易患坏死性小肠结肠炎的群体。该病是新生儿期威胁患儿生命和健康的危重疾病，也是常见的胃肠道急症［1］。伴随着近年来新生儿重症监护室的建立和完善，早产儿的存活率逐年增加，与此增高的同时，坏死性小肠结肠炎的患病率也随之增高［2］。这已经成为早产儿死亡的重要原因之一。为了进一步防治该病，利于早期防治，现将我院收治的110例NEC患儿进行回顾性分析，报道如下。