Influencing factors for postoperative recovery of intestinal function in neonates with congenital intestinal malrotation

Runwu SUN; Guangjun XIANG; Yi WANG; Wei LIU

doi:10.16016/j.1000-5404.201903063

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Influencing factors for postoperative recovery of intestinal function in neonates with congenital intestinal malrotation

Clinical Medicine | 更新时间：2026-01-09

- Influencing factors for postoperative recovery of intestinal function in neonates with congenital intestinal malrotation
- Journal of Third Military Medical University Vol. 41, Issue 17, Pages: 1698-1702(2019)
- 作者机构：
  
  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
- 作者简介：
- 基金信息：
  
  the Key Project of National Clinical Keydiscipline Construction Programs of China(国卫办医函〔2013〕544)
- DOI：10.16016/j.1000-5404.201903063
  CLC： R181.32;R722.19;R726.569
- Received：07 March 2019，
  
  Revised：2019-06-11，
  
  Published：15 September 2019
- 稿件说明：
移动端阅览
Runwu SUN, Guangjun XIANG, Yi WANG, et al. Influencing factors for postoperative recovery of intestinal function in neonates with congenital intestinal malrotation[J]. Journal of Third Military Medical University, 2019, 41(17): 1698-1702.
DOI：

Runwu SUN, Guangjun XIANG, Yi WANG, et al. Influencing factors for postoperative recovery of intestinal function in neonates with congenital intestinal malrotation[J]. Journal of Third Military Medical University, 2019, 41(17): 1698-1702. DOI： 10.16016/j.1000-5404.201903063.

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(

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(

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

=-0.206)、出生体质量(

=-0.307)，与达到全肠内营养时间呈正相关的是合并腹膜炎(

=0.220)、合并消化道畸形(

=0.344)、联合手术(

=0.412)、十二指肠近端直径(

=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(

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

Objective

To investigate the factors influencing the recovery of intestinal function after operation in neonates with congenital intestinal malrotation.

Methods

The 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.

Results

Maternal age

hematochezia

pneumonia

albumin at admission

and rotation degree were unrelated to the recovery of intestinal function (

0.05). Gestational age

birth weight

peritonitis

digestive tract malformation

combined surgery

and proximal diameter of duodenum were positively associated with the recovery (

0.05). The negative influencing factors to the time of achieving full enteral nutrition were gestational age (

=-0.206) and birth weight (

=-0.307)

and the positively influencing factors were peritonitis(

=0.220)

digestive tract malformation (

=0.344)

combined surgery (

=0.412) and proximal diameter of duodenum(

=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 (

0.05).

Conclusion

Birth weight

peitonitis

combined surgery

and proximal diameter of duodenum are important factors affecting the recovery of intestinal function in neonates with intestinal malrotation.

关键词

Keywords

references

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