中国肛肠病杂志2025，Vol.45Issue(11)：20-23,4.
肛瘘及肛周脓肿术后非计划再次入院危险因素分析
Analysis of Risk Factors for Unplanned Readmission after Surgery for Anal Fistula and Perianal Abscess
摘要
Abstract
Objective To explore the independent risk factors for unplanned readmission in postoperative patients for anal fistula and perianal abscess,and to provide a basis for clinical prevention.Methods The data of 1230 patients who underwent primary radical surgery for anal fistula or perianal abscess and were dis-charged successfully in the Fourth Department of Coloproctology of the Second Affiliated Hospital of Hunan University of Chinese Medicine from January 1,2023 to December 31,2024 were retrospectively collected.Total 56 cases of unplanned readmission within 1 year after discharge were selected.At the same time,total 60 cases of postoperative patients who did not have readmission in the same period were randomly selected for control analysis.The clinical relevant data of the patients in the unplanned readmission group and the control group were compared,and multivariate Logistic regression analysis was used to analyze the risk factors affecting unplanned readmission.Results The proportions of male patients,obese patients(body mass index>28 kg/m2),patients with diabetes mellitus,patients with long-term constipation,chronic diarrhea,patients with tobacco and alcohol dependence,and patients with long-term staying up late in the unplanned readmission group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Multivariate Logistic regression analysis showed that obesity,long-term constipation,chronic diarrhea,tobacco and alcohol dependence,and long-term staying up late were independent risk factors for unplanned read-mission after surgery(P<0.05).Conclusion Obesity,long-term abnormal defecation(constipation/diar-rhea),and bad living habits(tobacco and alcohol dependence,long-term staying up late)are independent risk factors for unplanned readmission after surgery for anal fistula and perianal abscess.Clinically,the risk manage-ment and control during the perioperative period should be strengthened,and personalized intervention and follow-up management should be implemented to reduce the rate of unplanned readmission.关键词
肛瘘/肛周脓肿/术后/非计划再次入院/危险因素Key words
Anal fistula/Perianal abscess/Postoperative/Unplanned readmission/Risk factors引用本文复制引用
黄启宣,文鸾凤,马亚波,杨宗亮,胡响当..肛瘘及肛周脓肿术后非计划再次入院危险因素分析[J].中国肛肠病杂志,2025,45(11):20-23,4.基金项目
湖南省自然科学基金会项目(2025JJ90122) （2025JJ90122）
湖南省卫生健康委卫生科研课题(C202304017114) （C202304017114）
湖南省中医药管理局委托课题(D2023008) （D2023008）
