發(fā)布時間：2018-05-06 11:44

  本文選題：急性胃腸損傷 + 腹腔壓力�。� 參考：《廣東醫(yī)學(xué)》2016年10期

【摘要】：目的探討腹腔高壓與急性胃腸損傷(AGI)診斷分級的關(guān)系及腹腔高壓對AGI患者預(yù)后的影響。方法采用前瞻性研究方法,選取符合AGI診斷分級標(biāo)準(zhǔn)的患者124例,入組時監(jiān)測膀胱壓力,每4 h 1次,計算連續(xù)2次的均值,視為入組時腹腔壓力(腹腔壓力),腹腔壓力≥12 mm Hg為腹腔高壓。探討影響AGI患者腹腔高壓的相關(guān)因素、腹腔高壓對AGI診斷分級的影響及影響AGI患者院內(nèi)死亡因素。結(jié)果 AGI患者腹腔高壓的發(fā)生率為46.77%;AGIⅠ、Ⅱ、Ⅲ、Ⅳ級分別與非腹腔高壓、腹腔高壓Ⅰ、Ⅱ、Ⅲ級間比較差異有統(tǒng)計學(xué)意義(P0.01);腹腔高壓組AGI患者年齡、機(jī)械通氣率顯著高于非腹腔高壓組(P0.01);AGI患者存活組與死亡組間的年齡、APACHEⅡ評分和機(jī)械通氣時間差異有統(tǒng)計學(xué)意義(P0.05);腹腔高壓的AGI患者死亡率顯著高于存活率、腹腔高壓的AGI患者院內(nèi)死亡率顯著高于非腹腔高壓者(P0.05)。結(jié)論腹腔高壓可以作為AGIⅡ級以上(包括Ⅱ級)診斷分級的重要條件,腹腔高壓級別越高對AGI的診斷分級意義越大;腹腔高壓是AGI患者院內(nèi)死亡的重要因素,但不是獨立危險因素。
[Abstract]:Objective to investigate the relationship between celiac hypertension and acute gastrointestinal injury (ABI) classification and the influence of celiac hypertension on the prognosis of AGI patients. Methods A prospective study was carried out in 124 patients who met the criteria of AGI diagnosis and grading. The mean value of bladder pressure was calculated every 4 hours, and the mean value of bladder pressure was calculated every 4 hours. Celiac pressure was regarded as abdominal pressure (celiac pressure 鈮，

本文編號：1852186