【摘要】 目的:观察危重患者腹腔内高压(IAH)的发生率及其影响因素。方法:采用前瞻性队列研究方法,选择我院重症监护病房(ICU)的患者341例,采用经膀胱尿管间接测定方法,每日监测患者IAP,连续监测7d,按IAH的有无分组并进行临床资料比较,计量资料用t检验,计数资料用χ2检验,危险因素以单因素及多因素Logistic回归模型进行分析。结果:341例患者中88例(25.8%)患者发生腹腔内高压(IAH),15例(4.5%)患者发生腹腔间室综合征(ACS)。腹腔感染,大量液体复苏,肠梗阻,感染性休克,肝功能不全与IAH的发生密切相关(P=0.000,0.000,0.007,0.000,0.000)。结论:IAH的发生在危重患者中较常见,腹腔感染,大量液体复苏,感染性休克,肝功能不全可能是IAH发生的独立危险因素。更多还原

【Abstract】 Objective:To investigate the incidence and risk factors of high intra abdominal pressure(IAP) in critically ill patients in intensive care unit(ICU).Method:This was a prospective cohort study.This study was conducted at the intensive care unit in Changshu No.2 people’s hospital.The enrolled patients included all those consecutively admitted during 9 months.Intraabdominal pressure was continuously monitored twice daily for 7 days.Result:Of 341patients,88 patients(25.8%)had intra-abdominal hypertension and 15 patients(4.5%) had ACS.Independent risk factors for IAH were abdominal infection,fluid resuscitation,sepsis shock and liver dysfunction.Conclusion:IAH was frequent in Intensive Care Unit.Abdominal infection,fluid resuscitation,sepsis shock and liver dysfunction were independent risk factors for IAH.更多还原