腹腔高压对急性胃肠损伤预后的评估作用

Clinical value of intra-abdominal hypertension in estimating prognosis of critically ill patients with acute gastrointestinal injury

目的:总结腹腔高压(IAH)在急性胃肠损伤中的发生率,分析其危险因素及对预后的影响。方法:选取急性胃肠损伤患者108例,测量其腹腔压力(IAP),每4 h测1次,连测2次,取平均值,IAP<12 mmHg的患者为非IAH组,IAP≥12 mmHg的患者为IAH组。比较2组患者一般资料、疾病种类、28 d生存率、院内病死率、ICU病死率等。结果:在急性胃肠损伤的患者中,IAH的发生率为50.93%。与非IAH组比较,IAH组年龄、院内病死率、脓毒性休克发生率更高(P分别为0.02、0.35、0.02)。结论:IAH高发生率与急性胃肠损伤患者院内病死率有关。

Objective:To summarize the incidence of intra-abdominal hypertension(IAH)in acute gastrointestinal injury and analyze its risk factors and influence on prognosis.Methods:The intra-abdominal pressure(IAP)of 108 critically ill patients with acute gastrointestinal injury was measured every 4 h for consecutive 2 times after admission at ICU,and the average IAP was obtained.The patients were divided into 2 groups:group with IAP less than 12 mmHg(non-IAH group)and group with IAP≥12 mmHg(IAH group).General information,disease types,28-day survival rate,in-hospital mortality and ICU mortality were compared between two groups.Results:The incidence of IAH in patients with acute gastrointestinal injury was 50.93%.The age was older,and hospital mortality and incidence of septic shock were higher in IAH group than those in non-IAH group(all P<0.05).Conclusion:A high incidence of IAH is associated with hospital mortality in patients with acute gastrointestinal injury.