Study on independent risk factors and treatment situation for intestinal obstruction after abdominal surgery

Objective To study the independent risk factors and treatment situation for intestinal obstruction after abdominal surgery to provide the basis for clinical diagnosis and treatment.Methods 209 cases of abdominal surgery in our hospital from January 2012 to December 2013 were selected and treated by operation.The patients′general information(gender,age,disease type),anesthesia type,operation time,intraoperative operating,postoperative body temperature operation,WBC count and blood pressure were performed the statistical analysis.Results Among209 cases,40cases(19.14%)of postoperative ileus occurred.Among them,2cases(0.96%)of paralytic ileus were cured after medication therapy;in 5cases(2.39%)of mechanical ileus,4cases were cured with conservative treatment and 1case was cured after surgery;in 33cases(15.19%)of inflammatory intestinal obstruction,29 cases were cured by conservative treatment,4cases were performed enterolysis after abdominal exploration.The occurrence rate of postoperative intestinal obstruction in the elderly,non-tumor,anesthesia with opiod drugs,long operation time,hypoproteinemia,extensive intestinal adhesion,higher postoperative body temperature and low WBC count was higher,the differences had statistical significance(P0.05).The Logistic regression analysis showed that the independent risk factors for the occurrence of intestinal obstruction after abdominal surgery were anesthesia with opiod drugs,operation durations,preoperative complications,and WBC count(P0.05).Conclusion Among 209 cases,40cases(19.14%)of postoperative ileus occurred.Among them,2cases(0.96%)of paralytic ileus were cured after medication therapy;in 5cases(2.39%)of mechanical ileus,4cases were cured with conservative treatment and 1case was cured after surgery;in 33cases(15.19%)of inflammatory intestinal obstruction,29 cases were cured by conservative treatment,4cases were performed enterolysis after abdominal exploration.The occurrence rate of postoperative intestinal obstruction in the elderly,non-tumor,anesthesia with opiod drugs,long operation time,hypoproteinemia,extensive intestinal adhesion,higher postoperative body temperature and low WBC count was higher,the differences had statistical significance(P0.05).The Logistic regression analysis showed that the independent risk factors for the occurrence of intestinal obstruction after abdominal surgery were anesthesia with opiod drugs,operation durations,preoperative complications,and WBC count(P0.05).