腹部手术患者并发腹腔间室综合征与多脏器功能衰竭的关系

Relationship of abdominal compartment syndrome and multiple organs failure in patients underwent abdominal surgery

目的分析腹部手术患者并发腹腔间室综合征与多脏器功能衰竭的相关性。方法回顾性分析344例腹部手术患者资料,其中,并发腹腔间室综合征66例(A组),无腹腔间室综合征278例(B组)。比较两组患者并发多脏器功能衰竭的发生情况。结果 A组患者有40例发生多脏器功能衰竭,发生率为60.61%(40/66),明显高于B组的23.02%(64/278)(P<0.01)。Spearman相关分析显示,腹部手术患者并发腹腔间室综合征与多脏器功能衰竭具正相关(r=0.322,P<0.01)。结论腹部手术患者并发腹腔间室综合征患者容易发生多脏器功能衰竭。

Objective To analyze the correlation between abdominal compartment syndrome and multiple organ failure in the patients underwent abdominal surgery.Methods Data of 344 patients underwent abdominal surgery were analyzed retrospectively,who were divided into 2 groups of A（66 cases,with abdominal compartment syndrome） and B（278 cases,without abdominal compartment syndrome）.The correlation between abdominal compartment syndrome and multiple organ failure was analyzed.Results Of 66 patients in group A,40 cases were complicated with abdominal compartment syndrome with the incidence rate of 60.61%,which was significantly higher than 23.02%（64/278） in group B（P0.01）.The incidence of abdominal compartment syndrome was positively correlated with multiple organ failure（r=0.322,P0.01）.Conclusion The incidence of abdominal compartment syndrome is closely related with multiple organ failure in the patients underwent abdominal surgery.