持续腹内压(IAP)监测在ICU多发伤(MT)患者中的应用效果

Application of Continuous Intra-Abdominal Pressure(IAP) Monitoring in Patients with Multiple Trauma(MT) in ICU

目的分析在对ICU中多发伤患者的护理中实施持续腹内压监测的效果.方法选择该院2015年2月—2018年11月中的78例ICU多发伤患者进行研究,其中39例患者接受常规护理,视作对照组,另外39例患者在常规护理之外实施持续腹内压监测,比较两组效果.结果观察组救治成功率为92.31%,明显高于对照组的救治成功率74.36%(x^2=4.5231,P=0.0334);观察组患者在ICU中的住院时间为(10.23±1.18)d,明显短于对照组ICU住院时间(14.89±1.65)d(t=14.3463,P=0.0000).观察组并发症发生率为7.69%,明显低于对照组并发症发生率25.64%(x^2=4.5231,P=0.0334);观察组患者对护理的满意度为92.31%,明显高于对照组患者的护理满意度71.79%(x^2=5.5714,P=0.0183).结论通过对ICU中的多发伤患者实施持续腹内压监测能够保证对患者病情充分了解,保证获得更高的救治成功率,减少并发症,值得临床推广.

Objective To analyze the effect of continuous intra-abdominal pressure monitoring in the nursing of patients with multiple injuries in ICU. Methods A total of 78 patients with multiple injuries in ICU in our hospital from February 2015 to November 2018 were selected for the study. The control group (n=39) received routine nursing, while the observation group (n=39) received continuous intra-abdominal pressure monitoring and routine nursing. The effects of the two groups were compared. Results The success rate of treatment in the observation group was 92.31%, which was significantly higher than that in the control group (74.36%)(χ^2=4.523 1, P=0.033 4). The hospitalization time in the observation group was (10.23±1.18) days, which was significantly shorter than that in the control group (14.89±1.65) days (t=14.346 3, P=0.000 0). The incidence of complications in the observation group was 7.69%, which was significantly lower than that in the control group (25.64%)(χ^2=4.523 1, P=0.033 4). The satisfaction rate of nursing in the observation group was 92.31%, which was significantly higher than that in the control group (71.79%)(χ^2=5.571 4, P=0.018 3). Conclusion Continuous monitoring of intra-abdominal pressure for patients with multiple injuries in ICU can ensure a full understanding of the patient's condition, ensure a higher success rate of treatment and reduce complications, which is worthy of clinical promotion.