外科ICU病人腹腔内压及相关指标监测的应用研究

Application of Monitoring of Intra-Abdominal Pressure and Related Indicators of Surgical ICU Patients

目的探讨外科ICU病人腹腔内压及相关指标监测的应用。方法选择本院收治的外科ICU住院病人60例分为腹部外科手术组、非腹部手术组、非手术组,每组20例。评估三组腹内高压(IAH)的发生情况及严重程度,评估三组的相关指标情况。结果腹部外科手术组的腹内高压发生率及严重程度显著高于其余两组(P<0.05),非手术组的相关指标显著优于其余两组(P<0.05)。结论动态监测有助于判断患者是否存在腹内高压,了解重要器官功能状态,协助医师早期诊断腹腔间隙综合征。

Objective To explore the application of monitoring of intra-abdominal pressure and related indicators of surgical ICU patients. Methods A total of 60 cases of surgical ICU patients were divided into the abdominal surgery group, non-abdominal surgery group and non-surgery group, with 20 cases in each group. The incidence and severity of intra-abdominal hypertension （IAH） were evaluated, and the related indicators of three groups were evaluated. Results The incidence and severity degree of IAH of abdominal surgery group were significantly higher than those of the other two groups （P 〈0.05）. The related indicators of non-surgery group were significantly better than those of the other two groups （P 〈0.05）. Conclusions Dynamic monitoring can help to determine whether patients with intra-abdominal hypertension, understand the status of vital organ function, and assist physicians to early diagnose the abdominal compartment syndrome.