新生儿坏死性小肠结肠炎的临床特点与手术相关危险因素分析

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[摘要]目的分析新生儿坏死性小肠结肠炎（NEC）的临床特点与手术相关危险因素。方法回顾性选取2014年1月至2019年12月中山市博爱医院收治的86例 NEC 新生儿，43例行手术治疗患儿为手术组，43例行非手术治疗患儿为非手术组，收集临床资料，分析手术相关危险因素。结果手术组患儿的性别、胎龄、出生体重和出生至发病的时间与非手术组患儿比较差异无统计学意义（P >0.05）;但手术组位于临床Ⅲ期例数、剖宫产率和分娩时合并宫内感染例数明显高于非手术组，差异有统计学意义（P

[关键词]新生儿;坏死性小肠结肠炎;手术;危险因素

[中图分类号] R722.1  [文献标识码] A   [文章编号]2095-0616（2021）24-0104-03

Clinical characteristics of neonatal necrotizing enterocolitis and analysis of risk factors related to surgery

SU  Jiahong

Department of Pediatric Surgery， Boai Hospital of Zhongshan， Guangdong， Zhongshan 528400， China

[Abstract] Objective To analyze the clinical features of neonatal necrotizing enterocolitis （NEC） and the risk factors related to operation. Methods A total of 86 NEC newborns admitted to Boai Hospital of Zhongshan from January 2014 to December 2019 were retrospectively selected， including 43 children who were treated with surgery as the operation group and 43 children who were treated with non-surgery as the non-operation group. The clinical data were collected and the risk factors related to surgery were analyzed. Results There were no significant differences in gender， gestational age， birth weight and the time from birth to onset between the operation group and the non- operation group （P >0.05）. However， the number of patients at stage Ⅲ ， cesarean section rate and intrauterine infection during delivery in the operation group were higher than those in the non-operation group， with statistically significant differences （P

[Key words] Newborn; Necrotizing enterocolitis; Operation; Risk factor

坏死性小肠结肠炎（necrotic enterocolitis， NEC）是各种原因导致肠道感染而发生的肠管坏死性疾病，是新生儿比较严重的消化道急症，多见于出生体重较轻的早产儿[1]。（剩余4891字）