|本期目录/Table of Contents|

[1]冯伟,苏小霞,邹玉凤,等.超重/肥胖对儿童肠套叠空气灌肠复位的预后影响：倾向性评分匹配分析[J].天津医科大学学报,2021,27(02):137-141.
　FENG Wei,SU Xiao-xia,ZOU Yu-feng,et al.Effect of overweight and obesity on the prognosis of intussusception treated by air enema reduction in children: propensity score matching analysis[J].Journal of Tianjin Medical University,2021,27(02):137-141.
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超重/肥胖对儿童肠套叠空气灌肠复位的预后影响：倾向性评分匹配分析(PDF)
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
27卷
期数:
2021年02期
页码:
137-141
栏目:
临床医学
出版日期:
2021-03-15

文章信息/Info

Title:
Effect of overweight and obesity on the prognosis of intussusception treated by air enema reduction in children: propensity score matching analysis
文章编号:
1006-8147（2021）02-0137-05
作者:
冯伟1; 苏小霞1; 邹玉凤1; 李苗苗2; 崔华雷2
（1．天津医科大学研究生院，天津300070；2.天津市儿童医院微创外科，天津300134）
Author(s):
FENG Wei1;  SU Xiao-xia1; ZOU Yu-feng1; LI Miao-miao2; CUI Hua-lei2
（1. Graduate School, Tianjin Medical University, Tianjin 300070, China; 2.Department of Minimally Invasive Surgery, Tianjin Children′s Hospital, Tianjin 300074，China）
关键词:
肠套叠; 超重/肥胖; 儿童; 预后; 倾向性评分匹配
Keywords:
intussusception; overweight and obesity; children; prognosis; propensity score matching
分类号:
R720.597+R726.5
DOI:
-
文献标志码:
A
摘要:
目的：探讨超重/肥胖对儿童肠套叠空气灌肠复位（AER）预后的影响。方法：回顾性分析342例经AER的肠套叠患儿临床资料，根据体重指数（BMI）将其分为超重/肥胖（BMI百分比≥85%）及非超重/肥胖（BMI百分比＜85%）者，进行倾向性评分匹配后，运用单因素和多因素Logistic回归分析总结超重/肥胖对患儿的预后影响。结果：342例患儿经1:1倾向性评分匹配筛选出65例超重/肥胖及65例非超重/肥胖者，两组临床资料的差异无统计学意义（P＞0.05）。匹配后分析显示，超重/肥胖（OR＝19.483，95%CI：4.527~83.857）、白细胞（OR＝1.347，95%CI：1.138~1.594）及血乳酸（OR＝6.072，95%CI：2.149~17.151）为患儿AER预后不良的独立危险因素（均P＜0.05）。结论：超重/肥胖是儿童肠套叠AER不良预后的独立危险因素。
Abstract:
Objective: To investigate the effect of overweight and obesity on the prognosis of intussusception treated by air enema reduction（AER） in children. Methods: A retrospective analysis of the clinical data of 342 children with intussusception traeted by AER was performed. According to body mass index（BMI），they were divided into overweight and obese（BMI percentage ≥85%） and non-overweight-and-obese（BMI percentage <85%）. After propensity score matching，univariate and multivariate Logistic regression analysis were used to summarize the effects of overweight and obesity on the prognosis of patients. Results: A total of 65 cases of overweight and obesity and 65 cases of non-overweight and obesity were screened out from 342 children with 1:1 propensity score matching，and there was no significant difference in clinical data between the two groups（P>0.05）. Analysis after matching showed that overweight and obesity （OR=19.483，95%CI：4.527-83.857），white blood cell count（OR=1.347，95%CI：1.138-1.594） and blood lactate （OR=6.072，95%CI：2.149-17.151）were independent risk factors for poor prognosis of children with AER（all P<0.05）. Conclusion: Overweight and obesity are independent risk factors for the poor prognosis of children with intussusception AER.

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备注/Memo

备注/Memo:
基金项目 天津市科技计划项目（14RCGFSY00150）
作者简介 冯伟（1994-），男，硕士在读，研究方向：儿科学；通信作者：崔华雷，E-mail：chlfjp@sina.com。
更新日期/Last Update: 2021-03-10