Systemic Inflammatory Response Syndrome(SIRS): An Independent Predictor Of Surgical Intervention For Patients With Adhesive Small Bowel Obstruction(ASBO)

Objective: To explore the feasibility of regarding systemic inflammatory response syndrome(SIRS) as an independent predictor of surgical intervention in patients with adhesive small bowel obstruction(ASBO).Methods : 524 patinets with adhesive small bowel obstruction(ASBO) in the Affiliated Hospital of Qingdao University and Yidu Centralhospital of Weifang from May 2008 to October 2014 were analyzed retrospectively, which were divided into the surgery group(254 cases)and non- surgery group(270 cases). Each variable of SIRS(temperature T, heart rate HR, respiration rate R and white blood cells WBC), the number of SIRS factors(0, 1, 2, 3, 4), whether SIRS patient or not, the age and sexuality of the patient and other factors were analyzed comparatively.Results: The diagnosis indexes of SIRS, T, HR, R, WBC, are positive or not is closely related to whether to have a surgical treatment, the Chi square test of surgery group and non- surgery group is p<0.05. Each additional one of SIRS test positive parameters will make the surgical risk increase 2.444 times(OR=2.444). The risk of SIRS tested positive is 3.043(OR=3.043)times as large as the negative for the need for surgery.Conclusion: SIRS can be used as an independent predictive factor to assess the necessarity of surgical intervention in patients who suffered from ASBO.