|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
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-xia1ZOU Yu-feng1LI Miao-miao2CUI 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:
intussusceptionoverweight and obesitychildrenprognosispropensity 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