摘要
目的探讨腹内压监测在急腹症患者诊疗中的应用价值。方法 212例急腹症患者,通过测定膀胱压力测定腹内压,并依据腹内压测定结果确定治疗方案;对腹内压为Ⅳ级的患者,根据患者是否愿意进行手术减压治疗分为减压组(17例)和非减压组(16例)。测定患者腹内压测定前后的心率、血压、末梢血氧饱和度(Sp O2)以及呼吸频率差异,治疗前后中心静脉压(CVP)、氧合指数(Pa O2/Fi O2)以及腹内压差异。结果腹内压监测前后患者心率、血压、末梢Sp O2以及呼吸频率无明显变化,差异无统计学意义(P>0.05);治疗后患者CVP、腹内压较治疗前明显降低(P<0.05);Pa O2/Fi O2较治疗前明显升高(P<0.05)。对腹内压为Ⅳ级的患者,减压组临床治疗效果明显优于非减压组,差异具有统计学意义(P<0.05)。结论腹内压监测对急腹症患者各项生命指标均无明显影响,依据腹内压监测结果进行对症治疗可提升急腹症患者预后质量。
Objective To investigate the application value of intra-abdominal pressure monitoring in diagnosis and treatment of acute abdomen patients. Methods A total of 212 acute abdomen patients received urinary bladder pressure assessment for intra-abdominal pressure assessment. Their assessment results were taken for establishment of treatment plans. Patients with IV grade of intra-abdominal pressure were divided into decompression group （17 cases） and non-decompression group （16 cases） according to their willingness for decompression. Assessments of heart rate, blood pressure, peripheral blood oxygen saturation （SpO2）, and respiratory rate before and after intra-abdominal pressure assessment were made, as well as that of central venous pressure （CVP）, oxygenation index （PaO2/FiO2） and intra-abdominal pressure differences. Results The differences of heart rate, blood pressure, peripheral SpO2, and respiratory rate were not statistically significant before and after intra-abdominal pressure monitoring （P〉0.05）. After treatment, CVP and intra-abdominal pressure were obviously lower than those before treatment （P〈0.05）, and PaO2/FiO2 was increased obviously （P〈0.05）. The decompression group had much better clinical effect than the non-decompression group in patients with 1V grade of intra-abdominal pressure （P〈0.05）. Conclusion Intra-abdominal pressure monitoring has no obvious influence on vital indexes of acute abdomen patients. Symptomatic treatment based on monitoring results can improve patients＇ prognosis.
出处
《中国实用医药》
2015年第11期18-20,共3页
China Practical Medicine
关键词
腹内压监测
急腹症
临床疗效
Intra-abdominal pressure monitoring
Acute abdomen
Clinical effect
