ICU患者腹内压监测的注意事项及危险因素分析

Precautions and Risk Factors Analysis of Intra-abdominal Pressure Monitoring in ICU Patients

目的探讨ICU患者腹内压监测的临床注意事项,并分析腹腔高压相关危险因素。方法收集47例本院ICU 2015年1月-2018年12月收治的腹腔高压患者作为观察组,另选择47例未出现腹腔高压患者作为对照组,观察统计两组的各项资料,并分析ICU患者腹腔高压相关危险因素。结果对两组研究对象的各项指标进行检测和组间比较,可得两组在平均年龄、性别分布情况、身体质量指数、疾病类型等方面经比较差异均无统计学意义(P> 0.05);但在APACHEⅡ评分、入院24 h液体是否平衡、血白蛋白值水平方面经比较存在组间统计学差异(均P <0.05)。经多因素回归分析,可得APACHEⅡ评分、入院24 h液体是否平衡为ICU患者腹腔高压相关危险因素。结论 APACHEⅡ评分、入院24 h液体是否平衡为ICU患者腹高压相关危险因素,临床要注意尽早开始对ICU患者实施腹内压监测。

Objective To explore the clinical precautions for monitoring intra-abdominal pressure in ICU patients and to analyze the risk factors related to intra-abdominal pressure. Methods 47 patients with abdominal hypertension admitted to ICU in our hospital from January 2015 to December 2018 were selected as the observation group, and 47 patients without abdominal hypertension were selected as the control group. The general data of the two groups were observed and counted, and the related risk factors of abdominal hypertension in ICU patients were analyzed.Results There were no significant differences in the average age, sex distribution, body mass index and disease type between the two groups(P> 0.05), but there were significant differences in APACHE Ⅱ score, 24 h fluid balance and serum albumin level between the two groups(P < 0.05).By multivariate regression analysis, APACHE Ⅱ score, fluid balance at 24 hours of admission were identified as risk factors for abdominal hypertension in emergency ICU patients. Conclusion APACHE Ⅱ score,24 h fluid balance are risk factors for abdominal hypertension in ICU patients. Early monitoring of intra-abdominal pressure should be carried out in ICU patients.