危重病人腹胀中医辨证诊断评分与腹内压的相关性分析

Correlative Study On the Traditional Chinese Medical Symptom Score and Intra-Abdominal Pressure

目的:探讨危重病人腹胀中医辨证诊断评分与腹内压的相关性,验证该评分方法的科学性;方法:随机抽取100例次ICU住院病人进行中医辨证诊断评分,并同期进行腹内压测量及腹内高压分级。分析中医评分与腹内压测量值的相关性和不同腹内高压分级组的中医评分差异。结果:所有中医症状评分项目与腹内压测量之间均存在正相关(P<0.01),不同腹内高压分级组的中医评分差异有统计学意义(P<0.01)。结论:危重病人腹胀中医辨证诊断评分方法能正确反映病人腹内压升高的严重程度,对预防腹腔间室综合症的发生有积极意义。

Objective：To explore the correlation of the traditional Chinese medical symptom score and intra-abdominal pressure,and appraise the methods of symptom score.Methods：Chose a stochastic sample with 100 case in ICU,measure the traditional Chinese medical symptom score and intra-abdominal pressure,analyze the correlation of two,and compare the difference of the traditional Chinese medical symptom score in different group based on intra-abdominal pressure.Results：There is a positive correlation between all traditional Chinese medical symptom score items and intra-abdominal pressure（P〈0.01）,and there is significant difference for the traditional Chinese medical symptom score in different group（P〈0.01）.Conclusion：The method of the traditional Chinese medical symptom score can cue the degree of intra-abdominal pressure,and there are active effects for keeping abdominal compartment syndrome away.