摘要
目的:探讨腹部大手术后腹腔内高压(IAH)的发生率,评估腹腔内压力(IAP)变化与液体平衡及全身性炎症反应综合征(SIRS)的关系。方法:以本院腹部大手术后入IUC监护的57例患者为研究对象,通过膀胱内测压法测量术后连续3天的IAP值、IAP日变化值并记录24h液体平衡,根据ACCP/SCMM的SIRS标准将研究对象分为SIRS组和Non-SIRS组,记录术后3天内每组IAH和Non-IAH患者例数及IAP值。结果:57例患者中术后发生IAH者占32.8%,24h液体平衡与IAP变化呈正关(r1=0.554,r2=0.522,r3=0.571,P<0.01);SIRS组IAH发生例数多于Non-SIRS组,并且IAP值高于Non-SIRS组(P<0.01)。结论:IAH多发生在腹部大手术后,24h液体平衡以及SIRS是发生IAH的危险因素。
Objective:The objectives of this study were to determine the incidence of intra-abdominal hypertension in patients after major abdominal surgery and to evaluate the correlation of intra-abdominal pressure with fluid balance and systemic inflammatory response syndrome.Methods:57 patients,admitted to ICU of our hospital after major abdominal surgery,were included into the study.Through measurement of bladder pressure measured the IAP value,IAP changes in value and record the 24 h day fluid balance of the 3 consecutive days,according to ACCP/SCMM of SIRS standard subjects were divided into SIRS group and the Non-SIRS group,recorded after 3 days not only the number of IAH and Non-IAH patients but also the IAP values.Results:57 patients were included into the study.Intra-abdominal hypertension was diagnosed in about 32.8% of the patients in the early postoperative period.The study showed a significant positive correlation between 24-hour fluid balance and daily changes in intra-abdominal pressure(r1=0.554,r2=0.522,r3=0.571,P0.01).A significant association was also seen between the number of positive systemic inflammatory response syndrome criteria and intra-abdominal pressure,and intra-abdominal pressure was significantly higher in patients with systemic inflammatory response syndrome(P0.01).Conclusions:Intra-abdominal hypertension occured commonly in patients after major abdominal surgery,and patients with positive 24-hour fluid balance and/or systemic inflammatory response syndrome were at risk of having higher intra-abdominal hypertension.
出处
《中国冶金工业医学杂志》
2010年第5期503-505,共3页
Chinese Medical Journal of Metallurgical industry
关键词
腹腔内压力
腹腔内高压
液体平衡
全身性炎症反应综合征
Intra-abdominal hypertension
Intra-abdominal pressure
Fluid balance
Systemic inflammatory response syndrome