Clinical Analysis Of Intestinal Obstruction After Cesarean Section

Research BackgroundCesarean section is the most common operation in obstetrics,which plays an important role in dealing with dystocia,complications and pregnancy complications,and reducing maternal and infant mortality.The development of perinatal medical technology is becoming more and more perfect,and various related medical conditions are constantly improving.The safety of cesarean section is also improving.At the same time,the cesarean section rate in various countries around the world has also increased..Intestinal obstruction after cesarean section is one of the rare complications after cesarean section,and the pathogenesis has not yet been defined.With the increase of cesarean section rate year by year,the incidence of postoperative intestinal obstruction is also gradually increasing,which is not only harmful to maternal health.It also prolongs the length of stay of patients,resulting in personal and social economic losses.Therefore,actively looking for the clinical related factors of intestinal obstruction after cesarean section not only plays a positive role in the diagnosis of suspected intestinal obstruction after cesarean section.It is more helpful for clinicians to take targeted measures to treat and prevent the occurrence of intestinal obstruction.Research ObjectiveTo explore the clinical factors related to intestinal obstruction after cesarean section.To compare and analyze the differences between patients with intestinal obstruction after cesarean section and those who did not,to obtain valuable results by statistical method,and to make a preliminary analysis and conjecture on the mechanism of intestinal obstruction after cesarean section.In order to provide help for clinical diagnosis,treatment and prevention of intestinal obstruction after cesarean section.Research Methods12 patients with intestinal obstruction after cesarean section from May 2014 to May 2018 in Zhengzhou University were selected as the case group and 60 cases with no intestinal obstruction after cesarean section in the same period were randomly selected as control group.Related risks about age,gravidity,parity,gestational week,intraoperative blood loss,neonatal weight,proportion of history of previous pelvic and abdominal surgery,operative time ?1h,premature rupture of membranes,general anesthesia for anesthesia,intraoperative stripping uterine fibroids and anti-adhesion materials was compared.Univariate analysis and multivariate logistic regression analysis were used to analyze the related factors of intestinal obstruction after cesarean section.ResultsThere were no significant differences in the age,gravidity,parity,gestational week,intraoperative blood loss,neonatal weight,and proportion of anesthesia for general anesthesia between the two groups(all P>0.05).The proportion of history of previous pelvic and abdominal surgery,premature rupture of membranes,operation time ?1h,intraoperative removal of uterine fibroids,and anti-adhesion materials were statistically significant(all P<0.05).According to the results of multivariate logistic regression analysis,the history of previous pelvic and abdominal surgery(OR=9.657,P=0.030,95%CI=1.251~74.571),premature rupture of membranes(OR=7.180,P=0.044,95%CI=1.053~48.979),and intraoperative removal of uterine fibroids(OR=11.803,P=0.020,95%CI=1.481~94.074)are risk factors for intestinal obstruction after cesarean section.The application of anti-adhesion materials(OR=0.023,P=0.011,95%CI=0.001~0.414)is a protective factor.Research ConclusionThe history of previous pelvic and abdominal surgery,premature rupture of membranes,and intraoperative removal of uterine fibroids are risk factors for intestinal obstruction after cesarean section.The application of anti-adhesion materials is a protective factor.