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

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DOI：10.11768/nkjwzzzz20210105

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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.