Postoperative recovery of gastrointestinal function in children with perforated appendicitis and its risk factors
HUANG Zhenwen LYU Changheng TANG Haizhou ZHANG Donghu YANG Di HE Changjing LUO Kede
Department of Pediatric Surgery, Affiliated Hospital of Youjiang Medical University of Nationalities, Guangxi Zhuang Autonomous Region, Youjiang 533000, China
Abstract Objective To observe the postoperative recovery of gastrointestinal function in children with perforated appendicitis and analyze its risk factors. Methods A total of 160 children with perforated appendicitis underwent surgical treatment enrolled in Affiliated Hospital of Youjiang Medical University of Nationalities from January 2017 to August 2021 were selected retrospectively as research objects. The evaluation indexes of gastrointestinal function recovery (bowel sound recovery time, anal exhaust time, defecation time) were compared among children with different clinical characteristics. The multivariate logistic regression was used to analyze the risk factors in postoperative poor recovery of gastrointestinal function. Results There were 136 children with postoperative good recovery of gastrointestinal function and 24 children with postoperative poor recovery of gastrointestinal function in 160 children. Univariate analysis results showed that the postoperative recovery of gastrointestinal function was correlated with the time from onset to operation, operation method, operation time, CO2 pneumoperitoneum pressure, peritoneal washes, postoperative caregivers, postoperative complications, postoperative intervention, and the differences were statistically significant (P<0.05). Multivariate logistic regression model analysis showed that the laparotomy (β=0.274, OR=1.249, 95%CI=1.022-1.615), operation time≥60 min (β=0.285, OR=1.358, 95%CI=1.097-1.704), CO2 pneumoperitoneum pressure≥12 mmHg (β=0.382, OR=1.375, 95%CI=1.119-1.762), postoperative complications (β=0.241, OR=1.218, 95%CI=1.064-1.637), without postoperative intervention (β=0.338, OR=1.276, 95%CI=1.025-1.696) were the independent risk factors in postoperative recovery of gastrointestinal function (P<0.05). Conclusion There were many risk factors of postoperative poor recovery of gastrointestinal function in children with perforated appendicitis, so targeted intervention measures should be taken to promote gastrointestinal function recovery.
HUANG Zhenwen,LYU Changheng,TANG Haizhou, et al. Postoperative recovery of gastrointestinal function in children with perforated appendicitis and its risk factors[J]. 中国当代医药, 2022, 29(20): 109-112.
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