• 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
  • 吴建鹏.腹腔高压对急性胃肠损伤预后的评估作用[J].内科急危重症杂志,2021,27(1):17-18
    DOI:10.11768/nkjwzzzz20210105
    中文关键词:  腹腔压力  腹腔高压  急性胃肠损伤  胃肠功能障碍
    英文关键词:
    基金项目:广州市科技计划攻关项目(No:201300000144);广州市中医药和中西医结合科技项目(No:20172A011012);广东省科技计划项目(No:2017ZC0373)
    作者单位E-mail
    吴建鹏 西安市中医医院 565947321@qq.com 
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    中文摘要:
          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。
    英文摘要:
          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.